Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $281.84 / $6,606.93	Facility		$165.96	$281.84	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $309.03	Professional		$100.00	$134.90	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $338.84	Professional		$128.82	$239.88	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $302.00	Professional		$134.90	$208.93	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $165.96 / $295.12	Facility		$125.89	$165.96	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $316.23	Professional		$144.54	$208.93	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $234.42 / $251.19	Facility		$177.83	$234.42	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $173.78 / $275.42	Facility		$117.49	$173.78	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $316.23	Professional		$79.43	$223.87	$316.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $977.24	Facility		$602.56	$776.25	$977.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $331.13	Professional		$186.21	$239.88	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,230.27 / $6,165.95	Facility		$389.05	$1,230.27	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $323.59	Professional		$144.54	$218.78	$323.59