Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.64 / $195.91 / $6,629.40	Facility		$72.64	$195.91	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $76.38 / $276.37	Professional		$32.59	$76.38	$276.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $110.09 / $235.61	Professional		$58.22	$110.09	$235.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $90.46 / $199.00	Professional		$67.34	$90.46	$199.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $100.89 / $186.17	Facility		$48.96	$100.89	$186.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $121.27 / $190.14	Professional		$60.31	$121.27	$190.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.27 / $148.74 / $175.54	Facility		$66.27	$148.74	$175.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $105.88 / $225.68	Facility		$47.02	$105.88	$225.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $113.05 / $220.66	Professional		$69.02	$113.05	$220.66
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 $71.86 / $123.82 / $249.19	Professional		$71.86	$123.82	$249.19
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 $114.25 / $157.31 / $250.14	Professional		$114.25	$157.31	$250.14