Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.82 / $197.56 / $7,920.26	Facility		$106.82	$197.56	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $136.44 / $469.87	Professional		$73.09	$136.44	$469.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $176.07 / $283.89	Professional		$108.24	$176.07	$283.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $146.19 / $234.51	Professional		$101.97	$146.19	$234.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.39 / $146.38 / $302.20	Facility		$81.39	$146.38	$302.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.98 / $166.62 / $251.10	Professional		$106.98	$166.62	$251.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.09 / $196.41 / $262.64	Facility		$135.09	$196.41	$262.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.93 / $146.38 / $314.72	Facility		$79.93	$146.38	$314.72
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $32.86 / $32.86 / $32.86	Facility	AS	$32.86	$32.86	$32.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $185.01 / $270.89	Professional		$119.04	$185.01	$270.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $194.87 / $302.33	Professional		$120.42	$194.87	$302.33
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 $145.05 / $205.61 / $320.23	Professional		$145.05	$205.61	$320.23