Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $288.40 / $6,606.93	Facility		$100.00	$288.40	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $120.23 / $245.47	Professional		$47.86	$120.23	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $346.74	Professional		$67.61	$144.54	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $316.23	Professional		$91.20	$131.83	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $131.83 / $346.74	Facility		$54.95	$131.83	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $346.74	Professional		$85.11	$177.83	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $223.87 / $263.03	Facility		$147.91	$223.87	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $134.90 / $346.74	Facility		$57.54	$134.90	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $338.84	Professional		$79.43	$138.04	$338.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $316.23	Professional		$95.50	$173.78	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $131.83 / $323.59	Professional		$57.54	$131.83	$323.59