Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.93 / $313.38 / $7,920.26	Facility		$138.93	$313.38	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $104.71 / $370.86	Professional		$58.18	$104.71	$370.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $181.93 / $378.51	Professional		$101.52	$181.93	$378.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.88 / $144.41 / $319.89	Professional		$109.88	$144.41	$319.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.36 / $160.19 / $305.45	Facility		$83.36	$160.19	$305.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.96 / $195.23 / $288.79	Professional		$99.96	$195.23	$288.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $172.07 / $274.02	Facility		$117.95	$172.07	$274.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.07 / $174.01 / $359.54	Facility		$84.07	$174.01	$359.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.84 / $189.06 / $351.94	Professional		$116.84	$189.06	$351.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $617.05 / $792.89	Facility		$492.49	$617.05	$792.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $202.81 / $397.00	Professional		$120.42	$202.81	$397.00
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 $184.51 / $265.86 / $422.75	Professional		$184.51	$265.86	$422.75