Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.09 / $308.79 / $7,920.26	Facility		$132.09	$308.79	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $103.80 / $405.48	Professional		$54.18	$103.80	$405.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $174.06 / $373.61	Professional		$95.80	$174.06	$373.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.71 / $141.22 / $318.92	Professional		$106.71	$141.22	$318.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.65 / $156.93 / $304.52	Facility		$81.65	$156.93	$304.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $189.91 / $286.01	Professional		$95.54	$189.91	$286.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.17 / $229.71 / $276.04	Facility		$103.17	$229.71	$276.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $173.09 / $354.40	Facility		$80.04	$173.09	$354.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $181.12 / $348.03	Professional		$111.13	$181.12	$348.03
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 $114.59 / $197.61 / $391.32	Professional		$114.59	$197.61	$391.32
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.53 / $251.38 / $408.58	Professional		$187.53	$251.38	$408.58