Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $281.84 / $6,606.93	Facility		$144.54	$281.84	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $218.78	Professional		$79.43	$114.82	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $338.84	Professional		$114.82	$213.80	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $309.03	Professional		$134.90	$208.93	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $162.18 / $269.15	Facility		$97.72	$162.18	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $295.12	Professional		$125.89	$190.55	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $218.78 / $251.19	Facility		$154.88	$218.78	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $245.47	Facility		$97.72	$147.91	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $316.23	Professional		$79.43	$199.53	$316.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $741.31	Facility		$467.74	$630.96	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $323.59	Professional		$162.18	$229.09	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $323.59	Professional		$125.89	$204.17	$323.59