Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.27 / $274.25 / $7,920.26	Facility		$113.27	$274.25	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $96.41 / $439.00	Professional		$45.71	$96.41	$439.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $146.80 / $330.73	Professional		$81.13	$146.80	$330.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $121.61 / $281.45	Professional		$91.87	$121.61	$281.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.34 / $131.94 / $258.29	Facility		$70.34	$131.94	$258.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $163.38 / $259.67	Professional		$82.19	$163.38	$259.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.78 / $197.33 / $244.55	Facility		$87.78	$197.33	$244.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $148.94 / $314.92	Facility		$64.73	$148.94	$314.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.62 / $155.93 / $307.51	Professional		$94.62	$155.93	$307.51
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 $98.40 / $169.09 / $347.73	Professional		$98.40	$169.09	$347.73
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 $125.95 / $231.15 / $390.46	Professional		$125.95	$231.15	$390.46