Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $416.87 / $6,606.93	Facility		$223.87	$416.87	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $380.19	Professional		$102.33	$151.36	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $457.09	Professional		$154.88	$288.40	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $407.38	Professional		$173.78	$275.42	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $194.98 / $323.59	Facility		$134.90	$194.98	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $380.19	Professional		$158.49	$204.17	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $338.84	Facility		$165.96	$275.42	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $190.55 / $275.42	Facility		$128.82	$190.55	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $257.04 / $426.58	Professional		$79.43	$257.04	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $11,748.98	Facility		$7,079.46	$9,772.37	$11,748.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $436.52	Professional		$213.80	$309.03	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,772.37 / $14,125.38	Facility		$1,995.26	$9,772.37	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $398.11	Professional		$141.25	$229.09	$398.11