Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.17 / $375.69 / $7,920.26	Facility		$190.17	$375.69	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $257.00 / $691.00	Professional		$136.43	$257.00	$691.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.31 / $321.01 / $446.15	Professional		$197.31	$321.01	$446.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.88 / $318.36 / $402.83	Professional		$251.88	$318.36	$402.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.61 / $284.97 / $378.57	Facility		$154.61	$284.97	$378.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.55 / $272.00 / $464.12	Professional		$214.55	$272.00	$464.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.34 / $286.64 / $341.70	Facility		$189.34	$286.64	$341.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.61 / $322.87 / $435.91	Facility		$154.61	$322.87	$435.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.49 / $339.57 / $458.61	Professional		$249.49	$339.57	$458.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $763.05 / $997.66 / $1,243.51	Facility		$763.05	$997.66	$1,243.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $256.37 / $344.46 / $481.33	Professional		$256.37	$344.46	$481.33
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.63 / $390.22 / $540.47	Professional		$249.63	$390.22	$540.47