Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $267.68 / $6,629.40	Facility		$90.49	$267.68	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $118.48 / $338.11	Professional		$38.58	$118.48	$338.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.65 / $155.65 / $155.65	Facility		$155.65	$155.65	$155.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $117.62 / $316.25	Professional		$63.07	$117.62	$316.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $170.00 / $285.52	Professional		$80.34	$170.00	$285.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.04 / $117.52 / $242.51	Facility		$53.04	$117.52	$242.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $132.61 / $288.47	Professional		$66.70	$132.61	$288.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.38 / $188.55 / $237.18	Facility		$76.38	$188.55	$237.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $127.89 / $308.92	Facility		$53.87	$127.89	$308.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $138.50 / $306.74	Professional		$77.34	$138.50	$306.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $415.67 / $478.20	Facility		$307.31	$415.67	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $166.53 / $316.80	Professional		$77.80	$166.53	$316.80
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $205.79 / $398.33	Professional		$141.12	$205.79	$398.33