Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $316.23 / $6,025.60	Facility		$169.82	$316.23	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $338.84	Professional		$112.20	$158.49	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $302.00 / $436.52	Professional		$151.36	$302.00	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $354.81	Professional		$186.21	$281.84	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $316.23	Facility		$144.54	$173.78	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $380.19	Professional		$165.96	$204.17	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $295.12	Facility		$162.18	$239.88	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $173.78 / $269.15	Facility		$141.25	$173.78	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $380.19	Professional		$79.43	$263.03	$380.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,230.27	Facility		$758.58	$1,000.00	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $398.11	Professional		$234.42	$302.00	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,513.56 / $6,165.95	Facility		$389.05	$1,513.56	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $380.19	Professional		$138.04	$223.87	$380.19