Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $331.13 / $7,943.28	Facility		$263.03	$331.13	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $398.11	Professional		$114.82	$151.36	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $398.11	Professional		$147.91	$275.42	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $316.23	Professional		$181.97	$239.88	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $218.78 / $446.68	Facility		$125.89	$218.78	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $338.84	Professional		$190.55	$234.42	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $251.19 / $263.03	Facility		$194.98	$251.19	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $190.55 / $316.23	Facility		$125.89	$190.55	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $251.19 / $354.81	Professional		$79.43	$251.19	$354.81
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 $251.19 / $281.84 / $354.81	Professional		$251.19	$281.84	$354.81
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 $169.82 / $257.04 / $363.08	Professional		$169.82	$257.04	$363.08