Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $323.59 / $1,071.52	Facility		$114.82	$323.59	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $398.11	Professional		$57.54	$120.23	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $288.40	Professional		$77.62	$144.54	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $338.84	Professional		$97.72	$131.83	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $199.53 / $691.83	Facility		$77.62	$199.53	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $302.00	Professional		$95.50	$190.55	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $218.78 / $239.88	Facility		$154.88	$218.78	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $158.49 / $288.40	Facility		$70.79	$158.49	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $295.12	Professional		$79.43	$144.54	$295.12
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 $114.82 / $199.53 / $302.00	Professional		$114.82	$199.53	$302.00
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 $89.13 / $158.49 / $288.40	Professional		$89.13	$158.49	$288.40