Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $338.84 / $6,606.93	Facility		$120.23	$338.84	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $239.88	Professional		$57.54	$114.82	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $354.81	Professional		$91.20	$169.82	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $323.59	Professional		$107.15	$162.18	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $165.96 / $371.54	Facility		$81.28	$165.96	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $302.00	Professional		$93.33	$199.53	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $239.88 / $257.04	Facility		$162.18	$239.88	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $147.91 / $281.84	Facility		$75.86	$147.91	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $323.59	Professional		$79.43	$154.88	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $331.13	Professional		$114.82	$208.93	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $331.13	Professional		$91.20	$165.96	$331.13