Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.38 / $306.24 / $7,920.26	Facility		$149.38	$306.24	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $108.73 / $240.34	Professional		$72.81	$108.73	$240.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $207.94 / $336.84	Professional		$127.42	$207.94	$336.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.01 / $191.79 / $293.22	Professional		$130.01	$191.79	$293.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.36 / $177.17 / $297.74	Facility		$104.36	$177.17	$297.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.76 / $201.22 / $263.79	Professional		$130.76	$201.22	$263.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.79 / $216.03 / $254.60	Facility		$140.79	$216.03	$254.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.36 / $184.88 / $397.49	Facility		$104.36	$184.88	$397.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.43 / $222.69 / $320.50	Professional		$152.43	$222.69	$320.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.61 / $240.00 / $361.95	Professional		$158.61	$240.00	$361.95
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 $168.73 / $245.96 / $386.58	Professional		$168.73	$245.96	$386.58