Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.11 / $123.09 / $224.37	Facility		$96.11	$123.09	$224.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $87.83 / $241.90	Professional		$50.27	$87.83	$241.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $134.77 / $246.89	Professional		$82.87	$134.77	$246.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $139.77 / $218.19	Professional		$97.37	$139.77	$218.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.66 / $141.44 / $234.18	Facility		$72.66	$141.44	$234.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $135.72 / $241.65	Professional		$80.06	$135.72	$241.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.54 / $154.58 / $180.90	Facility		$89.54	$154.58	$180.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.66 / $141.44 / $234.26	Facility		$72.66	$141.44	$234.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $147.40 / $246.89	Professional		$93.87	$147.40	$246.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $441.25 / $610.80 / $741.52	Facility		$441.25	$610.80	$741.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $156.66 / $258.67	Professional		$95.17	$156.66	$258.67
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 $128.96 / $206.83 / $287.74	Professional		$128.96	$206.83	$287.74