Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $263.03 / $6,606.93	Facility		$112.20	$263.03	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $123.03 / $436.52	Professional		$45.71	$123.03	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $288.40	Professional		$75.86	$138.04	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $269.15	Professional		$87.10	$120.23	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $131.83 / $363.08	Facility		$66.07	$131.83	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $269.15	Professional		$81.28	$158.49	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $234.42	Facility		$125.89	$199.53	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $114.82 / $229.09	Facility		$66.07	$114.82	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $288.40	Professional		$79.43	$128.82	$288.40
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 / $158.49 / $288.40	Professional		$97.72	$158.49	$288.40
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 $77.62 / $138.04 / $269.15	Professional		$77.62	$138.04	$269.15