Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $7,943.28	Facility		$158.49	$302.00	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $302.00	Professional		$109.65	$144.54	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $371.54	Professional		$154.88	$257.04	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $309.03	Professional		$177.83	$229.09	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $190.55 / $338.84	Facility		$120.23	$190.55	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $331.13	Professional		$190.55	$223.87	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $234.42 / $251.19	Facility		$199.53	$234.42	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $302.00	Facility		$120.23	$173.78	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $239.88 / $346.74	Professional		$79.43	$239.88	$346.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $338.84	Professional		$234.42	$269.15	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $354.81	Professional		$162.18	$257.04	$354.81