Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $7,943.28	Facility		$138.04	$181.97	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $229.09	Professional		$63.10	$95.50	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $257.04	Professional		$83.18	$154.88	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $281.84	Professional		$125.89	$186.21	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $128.82 / $208.93	Facility		$70.79	$128.82	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $251.19	Professional		$112.20	$162.18	$251.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $186.21 / $204.17	Facility		$120.23	$186.21	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $128.82 / $208.93	Facility		$70.79	$128.82	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $251.19	Professional		$79.43	$154.88	$251.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $1,023.29	Facility		$645.65	$851.14	$1,023.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $257.04	Professional		$125.89	$177.83	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,380.38 / $6,165.95	Facility		$389.05	$1,380.38	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $239.88	Professional		$93.33	$147.91	$239.88