Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.57 / $988.00 / $7,920.26	Facility		$231.57	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $233.50 / $871.79	Professional		$90.67	$233.50	$871.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.08 / $344.74 / $960.75	Professional		$178.08	$344.74	$960.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.22 / $327.32 / $856.51	Professional		$198.22	$327.32	$856.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.07 / $338.91 / $801.90	Facility		$154.07	$338.91	$801.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $372.33 / $948.36	Professional		$170.26	$372.33	$948.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.00 / $515.23 / $704.17	Facility		$193.00	$515.23	$704.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.07 / $514.96 / $1,205.66	Facility		$154.07	$514.96	$1,205.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.62 / $410.26 / $962.78	Professional		$202.62	$410.26	$962.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $505.91	Facility		$307.31	$396.76	$505.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.58 / $364.10 / $1,008.14	Professional		$204.58	$364.10	$1,008.14
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 $485.90 / $674.79 / $1,121.46	Professional		$485.90	$674.79	$1,121.46