Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $446.68 / $6,025.60	Facility		$77.62	$446.68	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $112.20 / $275.42	Professional		$38.90	$112.20	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $123.03 / $323.59	Professional		$54.95	$123.03	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $288.40	Professional		$58.88	$89.13	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $114.82 / $281.84	Facility		$40.74	$114.82	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $177.83 / $288.40	Professional		$54.95	$177.83	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $213.80 / $239.88	Facility		$154.88	$213.80	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $123.03 / $269.15	Facility		$41.69	$123.03	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $323.59	Professional		$67.61	$102.33	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $891.25	Facility		$512.86	$707.95	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $288.40	Professional		$67.61	$144.54	$288.40
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 $54.95 / $117.49 / $295.12	Professional		$54.95	$117.49	$295.12