Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.16 / $227.91 / $7,920.26	Facility		$75.16	$227.91	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $74.19 / $386.00	Professional		$26.69	$74.19	$386.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.72 / $108.40 / $273.20	Professional		$53.72	$108.40	$273.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $81.47 / $231.72	Professional		$60.39	$81.47	$231.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.68 / $93.69 / $215.11	Facility		$42.68	$93.69	$215.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $107.16 / $217.12	Professional		$53.91	$107.16	$217.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $162.18 / $202.34	Facility		$57.57	$162.18	$202.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.41 / $101.09 / $261.72	Facility		$42.41	$101.09	$261.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $111.98 / $255.49	Professional		$63.25	$111.98	$255.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $525.42 / $1,102.64 / $1,492.71	Facility		$525.42	$1,102.64	$1,492.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.39 / $116.37 / $288.99	Professional		$65.39	$116.37	$288.99
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 $127.11 / $190.27 / $337.50	Professional		$127.11	$190.27	$337.50