Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $6,606.93	Facility		$109.65	$208.93	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $602.56	Professional		$70.79	$154.88	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $263.03	Professional		$95.50	$158.49	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $251.19	Professional		$95.50	$131.83	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $147.91 / $316.23	Facility		$74.13	$147.91	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $257.04	Professional		$95.50	$177.83	$257.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $194.98 / $269.15	Facility		$165.96	$194.98	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $144.54 / $245.47	Facility		$74.13	$144.54	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $269.15	Professional		$79.43	$158.49	$269.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $478.63	Facility		$309.03	$398.11	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $263.03	Professional		$125.89	$194.98	$263.03
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 $95.50 / $158.49 / $263.03	Professional		$95.50	$158.49	$263.03