Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $194.98 / $6,606.93	Facility		$107.15	$194.98	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $194.98	Professional		$54.95	$91.20	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $234.42	Professional		$75.86	$138.04	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $213.80	Professional		$89.13	$134.90	$213.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $114.82 / $199.53	Facility		$69.18	$114.82	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $204.17	Professional		$81.28	$134.90	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $154.88 / $173.78	Facility		$112.20	$154.88	$173.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $114.82 / $190.55	Facility		$64.57	$114.82	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $218.78	Professional		$79.43	$131.83	$218.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $478.63	Facility		$309.03	$398.11	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $223.87	Professional		$102.33	$151.36	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $218.78	Professional		$79.43	$131.83	$218.78