Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $191.47 / $7,920.26	Facility		$118.09	$191.47	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $105.51 / $284.31	Professional		$53.75	$105.51	$284.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $135.24 / $228.29	Professional		$83.61	$135.24	$228.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $134.37 / $208.06	Professional		$98.12	$134.37	$208.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.88 / $126.38 / $250.35	Facility		$71.88	$126.38	$250.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $146.37 / $271.62	Professional		$87.75	$146.37	$271.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.16 / $158.12 / $185.26	Facility		$94.16	$158.12	$185.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.88 / $149.07 / $250.35	Facility		$71.88	$149.07	$250.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $155.76 / $234.60	Professional		$100.06	$155.76	$234.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $156.84 / $241.61	Professional		$101.19	$156.84	$241.61
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 $127.44 / $192.57 / $268.76	Professional		$127.44	$192.57	$268.76