Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $288.40 / $6,606.93	Facility		$134.90	$288.40	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $346.74	Professional		$70.79	$134.90	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $354.81	Professional		$100.00	$186.21	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $398.11	Professional		$125.89	$169.82	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $204.17 / $380.19	Facility		$95.50	$204.17	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $371.54	Professional		$125.89	$239.88	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $269.15 / $288.40	Facility		$181.97	$269.15	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $190.55 / $346.74	Facility		$91.20	$190.55	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $363.08	Professional		$79.43	$186.21	$363.08
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 $147.91 / $257.04 / $363.08	Professional		$147.91	$257.04	$363.08
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 $112.20 / $194.98 / $346.74	Professional		$112.20	$194.98	$346.74