Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.19 / $275.25 / $7,920.26	Facility		$153.19	$275.25	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $126.39 / $319.20	Professional		$70.06	$126.39	$319.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $193.72 / $331.00	Professional		$111.11	$193.72	$331.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.88 / $164.38 / $286.50	Professional		$123.88	$164.38	$286.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.12 / $174.88 / $309.42	Facility		$95.12	$174.88	$309.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $199.92 / $258.98	Professional		$111.69	$199.92	$258.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.87 / $226.29 / $248.20	Facility		$140.87	$226.29	$248.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.37 / $181.39 / $315.77	Facility		$95.37	$181.39	$315.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $200.50 / $308.20	Professional		$127.64	$200.50	$308.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $710.18 / $967.39	Facility		$555.45	$710.18	$967.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $226.33 / $348.68	Professional		$132.72	$226.33	$348.68
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 $173.95 / $243.62 / $366.93	Professional		$173.95	$243.62	$366.93