Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $106.59 / $149.34	Professional		$55.56	$106.59	$149.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $65.62 / $65.62	Facility		$65.62	$65.62	$65.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $90.04 / $215.16	Professional		$38.52	$90.04	$215.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $108.04 / $125.01	Professional		$90.97	$108.04	$125.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $147.69 / $232.90	Facility		$59.00	$147.69	$232.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $90.97 / $117.92	Facility		$60.70	$90.97	$117.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $149.34 / $235.21	Facility		$69.84	$149.34	$235.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $94.67 / $189.81	Professional		$90.04	$94.67	$189.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.64 / $121.58 / $157.61	Facility		$92.64	$121.58	$157.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $125.26 / $241.81	Professional		$95.30	$125.26	$241.81
United Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $7,664.00 / $36,803.00	Facility		$147.41	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.51 / $99.93 / $195.35	Professional		$74.51	$99.93	$195.35