Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.13 / $292.07 / $943.92	Facility		$107.13	$292.07	$943.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $115.09 / $396.51	Professional		$55.56	$115.09	$396.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $161.94 / $301.77	Professional		$83.14	$161.94	$301.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $127.98 / $261.27	Professional		$97.58	$127.98	$261.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.13 / $152.27 / $267.30	Facility		$73.13	$152.27	$267.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.19 / $268.67	Professional		$89.13	$177.19	$268.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.86 / $205.32 / $227.12	Facility		$105.86	$205.32	$227.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.88 / $156.37 / $290.04	Facility		$74.88	$156.37	$290.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.10 / $168.92 / $285.95	Professional		$103.10	$168.92	$285.95
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 $106.17 / $188.96 / $320.26	Professional		$106.17	$188.96	$320.26
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 $148.05 / $204.75 / $325.58	Professional		$148.05	$204.75	$325.58