Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.86 / $99.02 / $4,114.00	Facility		$89.86	$99.02	$4,114.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $63.20 / $239.44	Professional		$44.47	$63.20	$239.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $101.08 / $132.19	Professional		$67.95	$101.08	$132.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $100.15 / $112.76	Professional		$80.23	$100.15	$112.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $98.56 / $135.88	Facility		$63.20	$98.56	$135.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $85.80 / $140.06	Professional		$66.30	$85.80	$140.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $86.20 / $91.80	Facility		$65.41	$86.20	$91.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $105.32 / $135.88	Facility		$63.20	$105.32	$135.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $103.49 / $130.79	Professional		$80.50	$103.49	$130.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,093.73 / $1,393.32 / $1,719.25	Facility		$1,093.73	$1,393.32	$1,719.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.80 / $109.13 / $139.52	Professional		$81.80	$109.13	$139.52
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,641.95 / $6,216.00	Facility		$376.00	$1,641.95	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $108.54 / $140.18	Professional		$69.43	$108.54	$140.18