Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.30 / $988.00 / $7,920.26	Facility		$223.30	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $150.91 / $387.94	Professional		$96.70	$150.91	$387.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.46 / $262.25 / $403.14	Professional		$156.46	$262.25	$403.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.91 / $265.36 / $362.97	Professional		$195.91	$265.36	$362.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.75 / $243.19 / $358.21	Facility		$142.75	$243.19	$358.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $238.57 / $446.97	Professional		$163.85	$238.57	$446.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.23 / $255.36 / $304.85	Facility		$167.23	$255.36	$304.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.75 / $274.30 / $387.86	Facility		$142.75	$274.30	$387.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.74 / $277.76 / $405.06	Professional		$190.74	$277.76	$405.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,510.12 / $4,581.20 / $5,196.60	Facility		$3,510.12	$4,581.20	$5,196.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $284.25 / $428.27	Professional		$194.22	$284.25	$428.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.48 / $344.65 / $480.88	Professional		$220.48	$344.65	$480.88