Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $436.52 / $7,943.28	Facility		$346.74	$436.52	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $426.58	Professional		$144.54	$199.53	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $524.81	Professional		$199.53	$371.54	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $426.58	Professional		$245.47	$323.59	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $263.03 / $616.60	Facility		$169.82	$263.03	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $478.63	Professional		$263.03	$323.59	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $331.13 / $354.81	Facility		$269.15	$331.13	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $257.04 / $426.58	Facility		$169.82	$257.04	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $338.84 / $478.63	Professional		$79.43	$338.84	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,230.27	Facility		$758.58	$1,000.00	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $489.78	Professional		$338.84	$380.19	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,513.56 / $6,165.95	Facility		$389.05	$1,513.56	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $501.19	Professional		$229.09	$354.81	$501.19