Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.80 / $988.00 / $7,920.26	Facility		$107.80	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.30 / $112.82 / $360.00	Professional		$59.30	$112.82	$360.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $151.94 / $256.04	Professional		$94.23	$151.94	$256.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $152.84 / $231.17	Professional		$110.54	$152.84	$231.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.42 / $143.59 / $215.70	Facility		$68.42	$143.59	$215.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $147.19 / $262.70	Professional		$94.46	$147.19	$262.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.49 / $157.63 / $194.97	Facility		$104.49	$157.63	$194.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.42 / $147.10 / $249.71	Facility		$68.42	$147.10	$249.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $170.40 / $258.99	Professional		$113.28	$170.40	$258.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,790.12 / $2,277.84 / $3,009.46	Facility		$1,790.12	$2,277.84	$3,009.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.59 / $178.97 / $275.72	Professional		$114.59	$178.97	$275.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $181.99 / $309.58	Professional		$135.19	$181.99	$309.58