Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $6,606.93	Facility		$147.91	$245.47	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $363.08	Professional		$64.57	$112.20	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $239.88	Professional		$89.13	$154.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $223.87	Professional		$100.00	$165.96	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $134.90 / $239.88	Facility		$72.44	$134.90	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $234.42	Professional		$87.10	$147.91	$234.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $169.82 / $186.21	Facility		$112.20	$169.82	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $125.89 / $186.21	Facility		$74.13	$125.89	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $234.42	Professional		$79.43	$154.88	$234.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $758.58	Facility		$489.78	$630.96	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $239.88	Professional		$125.89	$181.97	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $223.87	Professional		$91.20	$144.54	$223.87