Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $181.97 / $7,943.28	Facility		$100.00	$181.97	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $120.23 / $512.86	Professional		$45.71	$120.23	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $309.03	Professional		$67.61	$134.90	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $288.40	Professional		$72.44	$114.82	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $120.23 / $257.04	Facility		$56.23	$120.23	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $288.40	Professional		$70.79	$154.88	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $223.87 / $245.47	Facility		$117.49	$223.87	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $114.82 / $239.88	Facility		$56.23	$114.82	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $309.03	Professional		$79.43	$120.23	$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 $95.50 / $169.82 / $309.03	Professional		$95.50	$169.82	$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 $72.44 / $128.82 / $302.00	Professional		$72.44	$128.82	$302.00