Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.71 / $2,747.00 / $7,920.26	Facility		$238.71	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.89 / $159.38 / $628.63	Professional		$114.89	$159.38	$628.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $269.86 / $371.72	Professional		$181.21	$269.86	$371.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.14 / $273.83 / $308.31	Professional		$192.14	$273.83	$308.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.38 / $248.55 / $348.95	Facility		$159.38	$248.55	$348.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.23 / $224.40 / $403.18	Professional		$190.23	$224.40	$403.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.20 / $234.07 / $253.26	Facility		$181.20	$234.07	$253.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $159.38 / $265.61 / $342.67	Facility		$159.38	$265.61	$342.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $293.49 / $372.07	Professional		$219.25	$293.49	$372.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $668.99 / $668.99 / $668.99	Facility		$668.99	$668.99	$668.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $231.25 / $310.14 / $396.52	Professional		$231.25	$310.14	$396.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $299.47 / $396.32	Professional		$194.51	$299.47	$396.32