Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.85 / $345.77 / $8,728.00	Facility		$106.85	$345.77	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $186.24 / $609.00	Professional		$77.81	$186.24	$609.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.43 / $204.71 / $412.45	Professional		$128.43	$204.71	$412.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.38 / $208.79 / $369.95	Professional		$143.38	$208.79	$369.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $186.24 / $350.14	Facility		$86.87	$186.24	$350.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.16 / $219.32 / $413.77	Professional		$121.16	$219.32	$413.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.44 / $243.21 / $310.20	Facility		$132.44	$243.21	$310.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $203.25 / $399.02	Facility		$86.87	$203.25	$399.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $227.50 / $413.60	Professional		$143.63	$227.50	$413.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,799.56 / $2,403.83 / $3,156.31	Facility		$1,799.56	$2,403.83	$3,156.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $240.85 / $440.59	Professional		$144.37	$240.85	$440.59
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 $213.72 / $275.88 / $494.73	Professional		$213.72	$275.88	$494.73