Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $346.74 / $977.24	Facility		$102.33	$346.74	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $128.82 / $436.52	Professional		$45.71	$128.82	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $234.42	Professional		$61.66	$112.20	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $269.15	Professional		$77.62	$107.15	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $190.55 / $758.58	Facility		$60.26	$190.55	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $154.88 / $251.19	Professional		$74.13	$154.88	$251.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $173.78 / $190.55	Facility		$123.03	$173.78	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $123.03 / $223.87	Facility		$57.54	$123.03	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $239.88	Professional		$72.44	$112.20	$239.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $758.58	Facility		$489.78	$630.96	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $239.88	Professional		$83.18	$128.82	$239.88
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 $67.61 / $123.03 / $223.87	Professional		$67.61	$123.03	$223.87