Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.02 / $134.91 / $6,629.40	Facility		$49.02	$134.91	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $61.29 / $222.00	Professional		$29.26	$61.29	$222.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $72.43 / $123.97	Professional		$43.39	$72.43	$123.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $69.31 / $106.94	Professional		$46.96	$69.31	$106.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $65.61 / $134.30	Facility		$32.79	$65.61	$134.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $74.73 / $135.21	Professional		$40.79	$74.73	$135.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $85.76 / $102.51	Facility		$49.58	$85.76	$102.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $70.52 / $134.30	Facility		$32.79	$70.52	$134.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $78.09 / $123.05	Professional		$48.64	$78.09	$123.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $81.80 / $126.02	Professional		$48.55	$81.80	$126.02
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 $69.11 / $106.96 / $141.50	Professional		$69.11	$106.96	$141.50