Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.23 / $234.35 / $7,920.26	Facility		$87.23	$234.35	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $116.27 / $312.06	Professional		$56.34	$116.27	$312.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $127.00 / $235.47	Professional		$75.26	$127.00	$235.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $120.58 / $217.36	Professional		$82.07	$120.58	$217.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $141.56 / $245.97	Facility		$56.34	$141.56	$245.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $145.58 / $217.51	Professional		$78.38	$145.58	$217.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.14 / $168.17 / $207.70	Facility		$109.14	$168.17	$207.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $156.87 / $245.97	Facility		$56.34	$156.87	$245.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $151.80 / $227.68	Professional		$83.21	$151.80	$227.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $662.09 / $1,671.28 / $2,557.23	Facility		$662.09	$1,671.28	$2,557.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $156.78 / $230.56	Professional		$83.51	$156.78	$230.56
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $5,183.00	Facility		$376.00	$3,290.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $188.96 / $266.70	Professional		$123.76	$188.96	$266.70