Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $102.33 / $7,943.28	Facility		$79.43	$102.33	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $154.88	Professional		$40.74	$75.86	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $204.17	Professional		$57.54	$112.20	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $102.33 / $190.55	Professional		$69.18	$102.33	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $97.72 / $169.82	Facility		$51.29	$97.72	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $190.55	Professional		$61.66	$107.15	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $151.36	Facility		$95.50	$131.83	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $97.72 / $165.96	Facility		$48.98	$97.72	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $190.55	Professional		$70.79	$100.00	$190.55
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 $77.62 / $123.03 / $194.98	Professional		$77.62	$123.03	$194.98
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 $61.66 / $104.71 / $190.55	Professional		$61.66	$104.71	$190.55