Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $7,943.28	Facility		$104.71	$169.82	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $331.13	Professional		$56.23	$100.00	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $295.12	Professional		$81.28	$134.90	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $275.42	Professional		$75.86	$112.20	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $131.83 / $245.47	Facility		$61.66	$131.83	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $158.49 / $263.03	Professional		$77.62	$158.49	$263.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $194.98 / $234.42	Facility		$131.83	$194.98	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $125.89 / $234.42	Facility		$58.88	$125.89	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $288.40	Professional		$79.43	$141.25	$288.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $758.58	Facility		$489.78	$630.96	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $295.12	Professional		$102.33	$158.49	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $269.15	Professional		$83.18	$151.36	$269.15