Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $293.16 / $6,629.40	Facility		$131.69	$293.16	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $124.14 / $349.29	Professional		$68.23	$124.14	$349.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $196.88 / $351.09	Professional		$109.84	$196.88	$351.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $167.41 / $308.66	Professional		$127.56	$167.41	$308.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.59 / $186.41 / $305.44	Facility		$95.59	$186.41	$305.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.43 / $212.95 / $316.83	Professional		$120.43	$212.95	$316.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $241.87 / $268.67	Facility		$129.63	$241.87	$268.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.63 / $186.41 / $340.67	Facility		$98.63	$186.41	$340.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $215.29 / $337.40	Professional		$135.85	$215.29	$337.40
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 $140.49 / $244.17 / $376.16	Professional		$140.49	$244.17	$376.16
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $240.97 / $381.40	Professional		$174.86	$240.97	$381.40