Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $257.04 / $537.03	Facility		$93.33	$257.04	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $331.13	Professional		$53.70	$97.72	$331.13
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 $60.26 / $107.15 / $213.80	Professional		$60.26	$107.15	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $234.42	Professional		$70.79	$104.71	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $117.49 / $316.23	Facility		$54.95	$117.49	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $208.93	Professional		$67.61	$131.83	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $162.18 / $169.82	Facility		$120.23	$162.18	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $97.72 / $177.83	Facility		$51.29	$97.72	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $213.80	Professional		$72.44	$112.20	$213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $602.56	Facility		$380.19	$501.19	$602.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $213.80	Professional		$81.28	$125.89	$213.80
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 $66.07 / $114.82 / $199.53	Professional		$66.07	$114.82	$199.53