Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $169.82 / $7,943.28	Facility		$91.20	$169.82	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $213.80	Professional		$67.61	$89.13	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $199.53	Professional		$91.20	$144.54	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $131.83 / $173.78	Professional		$58.88	$131.83	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $131.83 / $199.53	Facility		$85.11	$131.83	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $213.80	Professional		$95.50	$131.83	$213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $131.83 / $141.25	Facility		$109.65	$131.83	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $117.49 / $173.78	Facility		$77.62	$117.49	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $186.21	Professional		$79.43	$125.89	$186.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $208.93	Professional		$123.03	$158.49	$208.93
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 $93.33 / $131.83 / $199.53	Professional		$93.33	$131.83	$199.53