Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.58 / $326.69 / $7,920.26	Facility		$149.58	$326.69	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $104.43 / $334.00	Professional		$65.48	$104.43	$334.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $163.41 / $248.56	Professional		$106.31	$163.41	$248.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $177.78 / $218.81	Professional		$125.49	$177.78	$218.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.38 / $128.82 / $213.31	Facility		$95.38	$128.82	$213.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $148.91 / $247.21	Professional		$124.36	$148.91	$247.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $153.35 / $186.93	Facility		$101.30	$153.35	$186.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.20 / $135.26 / $235.12	Facility		$90.20	$135.26	$235.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $168.95 / $236.03	Professional		$133.19	$168.95	$236.03
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 $140.22 / $189.16 / $262.70	Professional		$140.22	$189.16	$262.70
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 $118.45 / $163.81 / $260.48	Professional		$118.45	$163.81	$260.48