Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $337.08 / $1,135.92	Facility		$94.67	$337.08	$1,135.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $97.43 / $344.00	Professional		$49.25	$97.43	$344.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.42 / $130.66 / $250.60	Professional		$67.42	$130.66	$250.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $103.10 / $219.00	Professional		$78.45	$103.10	$219.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $129.38 / $257.37	Facility		$59.01	$129.38	$257.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $146.16 / $246.18	Professional		$71.51	$146.16	$246.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.01 / $168.84 / $192.75	Facility		$80.01	$168.84	$192.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.18 / $133.83 / $242.84	Facility		$60.18	$133.83	$242.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $138.02 / $240.26	Professional		$83.79	$138.02	$240.26
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 $86.75 / $142.82 / $268.14	Professional		$86.75	$142.82	$268.14
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 $129.00 / $168.96 / $266.67	Professional		$129.00	$168.96	$266.67