Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $312.75 / $5,116.62	Facility		$108.97	$312.75	$5,116.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $76.59 / $214.12	Professional		$48.56	$76.59	$214.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $139.31 / $229.86	Professional		$83.51	$139.31	$229.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $134.72 / $200.73	Professional		$89.74	$134.72	$200.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.18 / $119.09 / $187.17	Facility		$75.18	$119.09	$187.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $135.31 / $179.80	Professional		$90.21	$135.31	$179.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.69 / $149.50 / $173.53	Facility		$91.69	$149.50	$173.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $121.47 / $219.67	Facility		$71.06	$121.47	$219.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.44 / $146.32 / $216.91	Professional		$100.44	$146.32	$216.91
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 $106.82 / $157.44 / $242.56	Professional		$106.82	$157.44	$242.56
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 $106.01 / $153.59 / $242.89	Professional		$106.01	$153.59	$242.89