Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.10 / $193.41 / $6,511.30	Facility		$176.10	$193.41	$6,511.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $99.76 / $396.00	Professional		$74.62	$99.76	$396.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $195.80 / $267.48	Professional		$130.28	$195.80	$267.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $198.31 / $223.28	Professional		$139.85	$198.31	$223.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.14 / $169.86 / $257.32	Facility		$94.14	$169.86	$257.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $166.40 / $289.66	Professional		$140.76	$166.40	$289.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.80 / $170.37 / $182.24	Facility		$126.80	$170.37	$182.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.14 / $192.85 / $232.55	Facility		$94.14	$192.85	$232.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $209.35 / $267.48	Professional		$157.63	$209.35	$267.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,041.14 / $9,224.37 / $11,703.59	Facility		$7,041.14	$9,224.37	$11,703.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $223.18 / $285.33	Professional		$166.68	$223.18	$285.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.32 / $202.92 / $288.30	Professional		$138.32	$202.92	$288.30