Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $234.42 / $7,943.28	Facility		$141.25	$234.42	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $562.34	Professional		$69.18	$131.83	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $309.03	Professional		$97.72	$177.83	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $288.40	Professional		$100.00	$138.04	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $154.88 / $302.00	Facility		$77.62	$154.88	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $281.84	Professional		$100.00	$177.83	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $245.47	Facility		$165.96	$239.88	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $151.36 / $275.42	Facility		$77.62	$151.36	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $309.03	Professional		$79.43	$165.96	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $912.01	Facility		$549.54	$776.25	$912.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $309.03	Professional		$134.90	$204.17	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,174.90 / $6,165.95	Facility		$389.05	$1,174.90	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $309.03	Professional		$100.00	$173.78	$309.03