Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $7,943.28	Facility		$158.49	$194.98	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $199.53	Professional		$79.43	$95.50	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $257.04	Professional		$89.13	$177.83	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $199.53	Professional		$112.20	$147.91	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $158.49 / $251.19	Facility		$102.33	$158.49	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $204.17	Professional		$117.49	$158.49	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $165.96	Facility		$128.82	$151.36	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $138.04 / $223.87	Facility		$91.20	$138.04	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $213.80	Professional		$79.43	$154.88	$213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $213.80	Professional		$147.91	$169.82	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $223.87	Professional		$109.65	$169.82	$223.87