Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $6,606.93	Facility		$199.53	$389.05	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $316.23	Professional		$97.72	$147.91	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $407.38	Professional		$141.25	$263.03	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $363.08	Professional		$162.18	$251.19	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $794.33	Facility		$131.83	$213.80	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $346.74	Professional		$151.36	$229.09	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $302.00	Facility		$194.98	$269.15	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $323.59	Facility		$123.03	$204.17	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $245.47 / $380.19	Professional		$79.43	$245.47	$380.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,570.88 / $5,623.41	Facility		$3,548.13	$4,570.88	$5,623.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $389.05	Professional		$190.55	$275.42	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $389.05	Professional		$151.36	$245.47	$389.05