Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.61 / $377.46 / $1,192.25	Facility		$127.61	$377.46	$1,192.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $115.20 / $382.00	Professional		$59.79	$115.20	$382.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $161.44 / $301.70	Professional		$88.18	$161.44	$301.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $134.82 / $265.80	Professional		$102.88	$134.82	$265.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $160.80 / $260.62	Facility		$77.04	$160.80	$260.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $183.07 / $270.01	Professional		$96.06	$183.07	$270.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.23 / $205.02 / $230.48	Facility		$108.23	$205.02	$230.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $161.00 / $293.47	Facility		$79.28	$161.00	$293.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.62 / $174.07 / $288.10	Professional		$109.62	$174.07	$288.10
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 $113.29 / $201.64 / $324.05	Professional		$113.29	$201.64	$324.05
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 $157.93 / $214.87 / $326.61	Professional		$157.93	$214.87	$326.61