Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $380.19 / $380.19	Facility		$204.17	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $346.74	Professional		$117.49	$154.88	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $426.58	Professional		$158.49	$281.84	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $380.19	Professional		$162.18	$309.03	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $213.80 / $346.74	Facility		$112.20	$213.80	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $389.05	Professional		$190.55	$263.03	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $257.04 / $309.03	Facility		$181.97	$257.04	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $218.78 / $323.59	Facility		$125.89	$218.78	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $416.87	Professional		$79.43	$263.03	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,548.82	Facility		$891.25	$1,258.93	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $457.09	Professional		$208.93	$309.03	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,995.26	Facility		$1,230.27	$1,513.56	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $398.11	Professional		$147.91	$251.19	$398.11