Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $741.31 / $6,606.93	Facility		$213.80	$741.31	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $389.05	Professional		$97.72	$147.91	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $426.58	Professional		$147.91	$269.15	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $363.08	Professional		$158.49	$251.19	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $181.97 / $380.19	Facility		$125.89	$181.97	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $363.08	Professional		$147.91	$186.21	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $316.23	Facility		$147.91	$251.19	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $177.83 / $251.19	Facility		$123.03	$177.83	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $389.05	Professional		$79.43	$239.88	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,019.95	Facility		$1,819.70	$2,511.89	$3,019.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $407.38	Professional		$204.17	$288.40	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,467.37 / $7,413.10	Facility		$1,096.48	$3,467.37	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $363.08	Professional		$125.89	$208.93	$363.08