Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $293.39 / $1,286.30	Facility		$110.57	$293.39	$1,286.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $117.29 / $307.45	Professional		$61.43	$117.29	$307.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $169.10 / $312.95	Professional		$86.30	$169.10	$312.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $131.08 / $271.66	Professional		$100.72	$131.08	$271.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.59 / $164.44 / $273.07	Facility		$74.59	$164.44	$273.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $183.55 / $295.47	Professional		$93.84	$183.55	$295.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.20 / $216.41 / $239.80	Facility		$106.20	$216.41	$239.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $166.91 / $303.77	Facility		$77.55	$166.91	$303.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.79 / $177.27 / $297.79	Professional		$108.79	$177.27	$297.79
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 $112.65 / $200.48 / $335.42	Professional		$112.65	$200.48	$335.42
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 $161.19 / $220.42 / $340.04	Professional		$161.19	$220.42	$340.04