Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $380.19 / $6,606.93	Facility		$245.47	$380.19	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $478.63	Professional		$117.49	$181.97	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $524.81	Professional		$177.83	$331.13	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $457.09	Professional		$199.53	$309.03	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $229.09 / $371.54	Facility		$154.88	$229.09	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $446.68	Professional		$177.83	$234.42	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $316.23 / $389.05	Facility		$190.55	$316.23	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $218.78 / $316.23	Facility		$147.91	$218.78	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $295.12 / $489.78	Professional		$79.43	$295.12	$489.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $7,244.36	Facility		$4,570.88	$5,888.44	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $501.19	Professional		$245.47	$354.81	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $8,912.51	Facility		$1,698.24	$5,754.40	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $457.09	Professional		$158.49	$263.03	$457.09