Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.88 / $614.25 / $7,920.26	Facility		$103.88	$614.25	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $81.47 / $289.64	Professional		$45.76	$81.47	$289.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $109.66 / $143.41	Professional		$71.79	$109.66	$143.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $119.98 / $135.08	Professional		$84.78	$119.98	$135.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.47 / $110.34 / $164.76	Facility		$81.47	$110.34	$164.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $94.38 / $168.69	Professional		$82.94	$94.38	$168.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $95.81 / $108.12	Facility		$72.00	$95.81	$108.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.47 / $122.71 / $1,738.00	Facility		$81.47	$122.71	$1,738.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $119.76 / $154.82	Professional		$89.80	$119.76	$154.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $518.51 / $654.37 / $798.45	Facility		$518.51	$654.37	$798.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $117.33 / $152.41	Professional		$87.95	$117.33	$152.41
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 $82.68 / $110.47 / $152.13	Professional		$82.68	$110.47	$152.13