Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.05 / $180.70 / $7,920.26	Facility		$114.05	$180.70	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $65.18 / $215.22	Professional		$39.54	$65.18	$215.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $120.66 / $209.49	Professional		$73.20	$120.66	$209.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $122.66 / $192.96	Professional		$84.25	$122.66	$192.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.03 / $112.23 / $176.25	Facility		$66.03	$112.23	$176.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $124.00 / $168.16	Professional		$83.79	$124.00	$168.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.22 / $135.30 / $164.82	Facility		$83.22	$135.30	$164.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.03 / $113.15 / $210.23	Facility		$66.03	$113.15	$210.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $132.60 / $204.18	Professional		$91.52	$132.60	$204.18
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 $100.99 / $150.68 / $232.14	Professional		$100.99	$150.68	$232.14
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 $86.88 / $146.90 / $233.59	Professional		$86.88	$146.90	$233.59