Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $7,943.28	Facility		$102.33	$181.97	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $123.03 / $537.03	Professional		$44.67	$123.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $309.03	Professional		$72.44	$141.25	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $281.84	Professional		$75.86	$114.82	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $117.49 / $257.04	Facility		$56.23	$117.49	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $144.54 / $281.84	Professional		$72.44	$144.54	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $218.78 / $245.47	Facility		$109.65	$218.78	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $112.20 / $234.42	Facility		$56.23	$112.20	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $309.03	Professional		$79.43	$125.89	$309.03
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 $97.72 / $165.96 / $309.03	Professional		$97.72	$165.96	$309.03
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 $74.13 / $134.90 / $295.12	Professional		$74.13	$134.90	$295.12