Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $416.87 / $7,943.28	Facility		$234.42	$416.87	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $446.68	Professional		$169.82	$234.42	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $537.03	Professional		$257.04	$416.87	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $363.08 / $457.09	Professional		$158.49	$363.08	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $331.13 / $501.19	Facility		$234.42	$331.13	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $588.84	Professional		$263.03	$338.84	$588.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $346.74 / $371.54	Facility		$275.42	$346.74	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $257.04 / $446.68	Facility		$194.98	$257.04	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $346.74 / $501.19	Professional		$79.43	$346.74	$501.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $575.44	Professional		$346.74	$436.52	$575.44
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 $239.88 / $371.54 / $537.03	Professional		$239.88	$371.54	$537.03