Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.78 / $260.80 / $7,920.26	Facility		$114.78	$260.80	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.65 / $93.82 / $274.75	Professional		$72.65	$93.82	$274.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.14 / $159.30 / $313.16	Professional		$94.14	$159.30	$313.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $123.25 / $272.77	Professional		$93.11	$123.25	$272.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.29 / $156.19 / $243.43	Facility		$71.29	$156.19	$243.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $165.51 / $242.95	Professional		$88.31	$165.51	$242.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.64 / $190.28 / $234.50	Facility		$120.64	$190.28	$234.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.51 / $157.94 / $299.48	Facility		$71.51	$157.94	$299.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $166.86 / $293.13	Professional		$98.04	$166.86	$293.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $584.72 / $749.46	Facility		$492.49	$584.72	$749.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $177.44 / $330.68	Professional		$99.70	$177.44	$330.68
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $202.15 / $321.45	Professional		$145.44	$202.15	$321.45