Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $295.12 / $6,025.60	Facility		$154.88	$295.12	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $416.87	Professional		$70.79	$151.36	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $346.74	Professional		$102.33	$186.21	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $316.23	Professional		$117.49	$181.97	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $186.21 / $426.58	Facility		$100.00	$186.21	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $331.13	Professional		$100.00	$186.21	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $218.78 / $257.04	Facility		$154.88	$218.78	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $162.18 / $281.84	Facility		$89.13	$162.18	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $323.59	Professional		$79.43	$173.78	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $616.60 / $741.31	Facility		$436.52	$616.60	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $331.13	Professional		$131.83	$208.93	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $331.13	Professional		$100.00	$177.83	$331.13