Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $924.01 / $6,629.40	Facility		$85.76	$924.01	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $125.38 / $362.80	Professional		$45.50	$125.38	$362.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $147.12 / $342.98	Professional		$75.37	$147.12	$342.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $112.40 / $289.24	Professional		$83.35	$112.40	$289.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $132.97 / $284.08	Facility		$59.86	$132.97	$284.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $196.94 / $322.27	Professional		$76.98	$196.94	$322.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $175.58 / $242.25	Facility		$122.31	$175.58	$242.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $153.47 / $324.36	Facility		$59.86	$153.47	$324.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $154.44 / $318.66	Professional		$87.00	$154.44	$318.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $548.76 / $1,102.64 / $1,492.71	Facility		$548.76	$1,102.64	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $160.16 / $358.16	Professional		$89.99	$160.16	$358.16
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 $154.88 / $232.05 / $391.60	Professional		$154.88	$232.05	$391.60