Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $338.84 / $6,606.93	Facility		$173.78	$338.84	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $501.19	Professional		$75.86	$141.25	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $380.19	Professional		$123.03	$218.78	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $346.74	Professional		$134.90	$186.21	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $181.97 / $346.74	Facility		$95.50	$181.97	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $346.74	Professional		$123.03	$208.93	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $269.15 / $302.00	Facility		$186.21	$269.15	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $165.96 / $302.00	Facility		$97.72	$165.96	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $371.54	Professional		$79.43	$204.17	$371.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $758.58	Facility		$489.78	$630.96	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $371.54	Professional		$165.96	$223.87	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $363.08	Professional		$120.23	$204.17	$363.08