Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.48 / $692.55 / $7,920.26	Facility		$109.48	$692.55	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $54.17 / $169.73	Professional		$33.27	$54.17	$169.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $122.65 / $191.18	Professional		$80.50	$122.65	$191.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $124.01 / $166.86	Professional		$85.25	$124.01	$166.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $102.45 / $170.91	Facility		$68.00	$102.45	$170.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $116.36 / $171.87	Professional		$86.46	$116.36	$171.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $133.58 / $146.72	Facility		$84.50	$133.58	$146.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $107.55 / $186.21	Facility		$68.00	$107.55	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $136.74 / $184.45	Professional		$101.06	$136.74	$184.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.04 / $140.49 / $205.61	Professional		$103.04	$140.49	$205.61
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $137.03 / $219.12	Professional		$95.64	$137.03	$219.12