Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.69 / $465.45 / $7,920.26	Facility		$260.69	$465.45	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $197.25 / $891.00	Professional		$110.64	$197.25	$891.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.77 / $331.78 / $515.15	Professional		$186.77	$331.78	$515.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $333.00 / $453.18	Professional		$245.84	$333.00	$453.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.97 / $289.17 / $471.77	Facility		$177.97	$289.17	$471.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.20 / $295.14 / $506.23	Professional		$197.20	$295.14	$506.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $202.42 / $339.08 / $376.54	Facility		$202.42	$339.08	$376.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.97 / $335.99 / $483.11	Facility		$177.97	$335.99	$483.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.21 / $348.65 / $517.96	Professional		$231.21	$348.65	$517.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,719.37 / $2,101.36 / $2,633.84	Facility		$1,719.37	$2,101.36	$2,633.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.77 / $355.31 / $533.44	Professional		$242.77	$355.31	$533.44
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 $283.02 / $433.31 / $598.96	Professional		$283.02	$433.31	$598.96