Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.23 / $109.27 / $162.82	Facility		$87.23	$109.27	$162.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $65.53 / $164.93	Professional		$43.43	$65.53	$164.93
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 $63.66 / $107.93 / $172.83	Professional		$63.66	$107.93	$172.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $113.92 / $159.13	Professional		$91.38	$113.92	$159.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $93.38 / $145.53	Facility		$60.80	$93.38	$145.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $103.20 / $150.52	Professional		$73.20	$103.20	$150.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.53 / $117.92 / $132.66	Facility		$73.53	$117.92	$132.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $93.38 / $158.94	Facility		$60.80	$93.38	$158.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.19 / $116.35 / $165.98	Professional		$82.19	$116.35	$165.98
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 $82.56 / $120.81 / $173.77	Professional		$82.56	$120.81	$173.77
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.34 / $123.20 / $189.81	Professional		$86.34	$123.20	$189.81