Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $147.91	Professional		$48.98	$87.10	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $93.33 / $213.80	Professional		$39.81	$93.33	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $125.89	Professional		$91.20	$102.33	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $91.20 / $199.53	Facility		$46.77	$91.20	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $138.04	Professional		$53.70	$87.10	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $117.49	Facility		$67.61	$91.20	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $93.33 / $199.53	Facility		$50.12	$93.33	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $93.33 / $213.80	Professional		$39.81	$93.33	$213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $125.89 / $151.36	Facility		$93.33	$125.89	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $234.42	Professional		$95.50	$134.90	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $7,585.78 / $31,622.78	Facility		$162.18	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $186.21	Professional		$72.44	$87.10	$186.21