Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $234.42 / $6,606.93	Facility		$112.20	$234.42	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $309.03	Professional		$52.48	$93.33	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $234.42	Professional		$75.86	$134.90	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $229.09	Professional		$85.11	$114.82	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $134.90 / $223.87	Facility		$67.61	$134.90	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $223.87	Professional		$85.11	$154.88	$223.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $181.97 / $190.55	Facility		$128.82	$181.97	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $123.03 / $208.93	Facility		$64.57	$123.03	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $234.42	Professional		$79.43	$138.04	$234.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,584.89	Facility		$870.96	$1,258.93	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $234.42	Professional		$109.65	$151.36	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $6,165.95	Facility		$389.05	$2,187.76	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $234.42	Professional		$81.28	$141.25	$234.42