Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.84 / $409.34 / $5,116.62	Facility		$241.84	$409.34	$5,116.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $258.39 / $809.00	Professional		$118.81	$258.39	$809.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.83 / $330.05 / $572.22	Professional		$181.83	$330.05	$572.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.13 / $334.05 / $514.96	Professional		$239.13	$334.05	$514.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $185.39 / $321.86 / $562.95	Facility		$185.39	$321.86	$562.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.34 / $330.91 / $567.55	Professional		$195.34	$330.91	$567.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.67 / $358.29 / $430.34	Facility		$201.67	$358.29	$430.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.39 / $355.43 / $562.95	Facility		$185.39	$355.43	$562.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $356.40 / $570.36	Professional		$235.00	$356.40	$570.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.77 / $391.77 / $603.55	Professional		$242.77	$391.77	$603.55
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 $280.79 / $461.29 / $677.70	Professional		$280.79	$461.29	$677.70