Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $321.33 / $7,920.26	Facility		$74.09	$321.33	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $94.68 / $297.60	Professional		$36.25	$94.68	$297.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $117.01 / $275.70	Professional		$60.06	$117.01	$275.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $90.59 / $232.58	Professional		$67.09	$90.59	$232.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.61 / $112.77 / $228.67	Facility		$47.61	$112.77	$228.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.59 / $157.99 / $258.52	Professional		$61.59	$157.99	$258.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.27 / $142.49 / $194.78	Facility		$99.27	$142.49	$194.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.61 / $123.46 / $261.72	Facility		$47.61	$123.46	$261.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $123.20 / $255.95	Professional		$69.84	$123.20	$255.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $617.05 / $792.89	Facility		$492.49	$617.05	$792.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $129.05 / $288.99	Professional		$72.51	$129.05	$288.99
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 $134.40 / $184.59 / $293.52	Professional		$134.40	$184.59	$293.52