Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $218.78 / $7,943.28	Facility		$123.03	$218.78	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $331.13	Professional		$60.26	$138.04	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $398.11	Professional		$95.50	$190.55	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $354.81	Professional		$109.65	$169.82	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $165.96 / $338.84	Facility		$83.18	$165.96	$338.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $331.13	Professional		$97.72	$208.93	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $263.03 / $288.40	Facility		$181.97	$263.03	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $316.23	Facility		$79.43	$154.88	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $371.54	Professional		$79.43	$165.96	$371.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,786.30 / $6,025.60	Facility		$3,715.35	$4,786.30	$6,025.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $371.54	Professional		$120.23	$218.78	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $380.19	Professional		$95.50	$173.78	$380.19