Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.99 / $106.36 / $218.54	Facility		$85.99	$106.36	$218.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $83.72 / $226.99	Professional		$39.82	$83.72	$226.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $120.14 / $234.94	Professional		$67.02	$120.14	$234.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.13 / $114.08 / $221.10	Professional		$90.13	$114.08	$221.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.18 / $114.62 / $187.85	Facility		$60.18	$114.62	$187.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $131.99 / $206.00	Professional		$73.08	$131.99	$206.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.42 / $157.49 / $177.55	Facility		$84.42	$157.49	$177.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.18 / $119.40 / $209.95	Facility		$60.18	$119.40	$209.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.29 / $129.47 / $223.84	Professional		$81.29	$129.47	$223.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $376.96 / $498.08 / $590.98	Facility		$376.96	$498.08	$590.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.78 / $138.55 / $234.73	Professional		$82.78	$138.55	$234.73
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 $115.56 / $164.21 / $256.64	Professional		$115.56	$164.21	$256.64