Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.27 / $382.88 / $7,920.26	Facility		$279.27	$382.88	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $161.06 / $560.24	Professional		$125.23	$161.06	$560.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.05 / $305.39 / $424.61	Professional		$197.05	$305.39	$424.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.19 / $298.92 / $369.55	Professional		$240.19	$298.92	$369.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.32 / $271.30 / $374.85	Facility		$136.32	$271.30	$374.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.29 / $270.01 / $436.64	Professional		$210.29	$270.01	$436.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.72 / $283.98 / $320.26	Facility		$185.72	$283.98	$320.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.32 / $295.43 / $405.88	Facility		$136.32	$295.43	$405.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $242.55 / $327.85 / $435.16	Professional		$242.55	$327.85	$435.16
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 $253.13 / $338.25 / $448.17	Professional		$253.13	$338.25	$448.17
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 $240.76 / $368.01 / $498.55	Professional		$240.76	$368.01	$498.55