Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $123.20 / $519.82	Facility		$62.15	$123.20	$519.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $61.82 / $133.12	Professional		$38.59	$61.82	$133.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $114.12 / $201.66	Professional		$68.73	$114.12	$201.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $105.60 / $187.77	Professional		$80.31	$105.60	$187.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $100.98 / $163.62	Facility		$58.83	$100.98	$163.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $117.00 / $166.61	Professional		$73.11	$117.00	$166.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $131.32 / $160.80	Facility		$78.40	$131.32	$160.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.59 / $104.98 / $201.65	Facility		$57.59	$104.98	$201.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $123.90 / $198.12	Professional		$83.49	$123.90	$198.12
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 $88.05 / $144.53 / $222.66	Professional		$88.05	$144.53	$222.66
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 $98.40 / $140.04 / $216.03	Professional		$98.40	$140.04	$216.03