Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.38 / $288.20 / $7,920.26	Facility		$113.38	$288.20	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.93 / $370.14	Professional		$45.71	$89.93	$370.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.11 / $151.99 / $308.76	Professional		$84.11	$151.99	$308.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $127.17 / $268.74	Professional		$96.67	$127.17	$268.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $132.80 / $253.15	Facility		$75.45	$132.80	$253.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $162.40 / $243.36	Professional		$85.93	$162.40	$243.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.22 / $188.00 / $231.82	Facility		$83.22	$188.00	$231.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $141.47 / $296.04	Facility		$75.45	$141.47	$296.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.91 / $157.34 / $290.26	Professional		$98.91	$157.34	$290.26
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 $102.94 / $169.46 / $326.89	Professional		$102.94	$169.46	$326.89
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 $130.68 / $197.82 / $324.55	Professional		$130.68	$197.82	$324.55