Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.08 / $317.33 / $7,920.26	Facility		$142.08	$317.33	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $135.11 / $310.30	Professional		$76.04	$135.11	$310.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $202.36 / $376.85	Professional		$111.25	$202.36	$376.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $168.43 / $329.56	Professional		$129.41	$168.43	$329.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.89 / $199.88 / $318.72	Facility		$95.89	$199.88	$318.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.34 / $227.37 / $341.06	Professional		$119.34	$227.37	$341.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.78 / $255.67 / $288.32	Facility		$131.78	$255.67	$288.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $203.31 / $368.98	Facility		$99.60	$203.31	$368.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.78 / $220.82 / $363.78	Professional		$139.78	$220.82	$363.78
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 $143.72 / $255.79 / $407.43	Professional		$143.72	$255.79	$407.43
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 $203.52 / $260.00 / $409.60	Professional		$203.52	$260.00	$409.60