Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.74 / $236.76 / $6,629.40	Facility		$48.74	$236.76	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $54.46 / $157.00	Professional		$24.17	$54.46	$157.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $69.84 / $220.58	Professional		$34.26	$69.84	$220.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $52.46 / $191.92	Professional		$39.53	$52.46	$191.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $70.48 / $155.50	Facility		$28.85	$70.48	$155.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $88.23 / $175.25	Professional		$36.29	$88.23	$175.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $110.55 / $166.16	Facility		$40.29	$110.55	$166.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.04 / $77.59 / $211.95	Facility		$30.04	$77.59	$211.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $79.90 / $205.84	Professional		$41.28	$79.90	$205.84
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 $42.08 / $74.89 / $234.03	Professional		$42.08	$74.89	$234.03
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 $74.00 / $132.30 / $217.06	Professional		$74.00	$132.30	$217.06