Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.92 / $276.64 / $7,920.26	Facility		$108.92	$276.64	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $92.02 / $391.56	Professional		$48.29	$92.02	$391.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $145.36 / $332.36	Professional		$78.93	$145.36	$332.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $114.68 / $283.63	Professional		$86.90	$114.68	$283.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $137.03 / $261.02	Facility		$66.00	$137.03	$261.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $153.83 / $255.46	Professional		$77.39	$153.83	$255.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $198.45 / $246.56	Facility		$84.93	$198.45	$246.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.37 / $147.32 / $317.50	Facility		$66.37	$147.32	$317.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $152.57 / $310.02	Professional		$91.44	$152.57	$310.02
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 $94.52 / $168.22 / $350.58	Professional		$94.52	$168.22	$350.58
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 $157.88 / $227.49 / $361.75	Professional		$157.88	$227.49	$361.75