Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.30 / $321.79 / $6,072.60	Facility		$136.30	$321.79	$6,072.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $153.25 / $491.00	Professional		$70.79	$153.25	$491.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $185.65 / $348.47	Professional		$114.47	$185.65	$348.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.83 / $193.15 / $314.64	Professional		$133.83	$193.15	$314.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $198.16 / $320.26	Facility		$99.60	$198.16	$320.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $193.63 / $350.61	Professional		$111.54	$193.63	$350.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.85 / $214.19 / $259.95	Facility		$129.85	$214.19	$259.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $206.31 / $334.66	Facility		$99.60	$206.31	$334.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $202.58 / $348.47	Professional		$129.91	$202.58	$348.47
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 $131.41 / $216.36 / $369.53	Professional		$131.41	$216.36	$369.53
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 $184.97 / $289.14 / $414.92	Professional		$184.97	$289.14	$414.92