Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $245.47 / $6,606.93	Facility		$102.33	$245.47	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $218.78	Professional		$52.48	$107.15	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $263.03	Professional		$75.86	$138.04	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $245.47	Professional		$89.13	$134.90	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $131.83 / $281.84	Facility		$67.61	$131.83	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $234.42	Professional		$79.43	$151.36	$234.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $181.97 / $194.98	Facility		$125.89	$181.97	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $128.82 / $239.88	Facility		$64.57	$128.82	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $245.47	Professional		$79.43	$131.83	$245.47
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 $97.72 / $162.18 / $251.19	Professional		$97.72	$162.18	$251.19
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 $81.28 / $141.25 / $251.19	Professional		$81.28	$141.25	$251.19