Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $7,943.28	Facility		$75.86	$93.33	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $93.33	Professional		$37.15	$45.71	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $123.03	Professional		$42.66	$81.28	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $91.20	Professional		$52.48	$69.18	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $128.82	Facility		$44.67	$64.57	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $109.65	Professional		$54.95	$70.79	$109.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $75.86	Facility		$57.54	$72.44	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $58.88 / $93.33	Facility		$39.81	$58.88	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $102.33	Professional		$60.26	$79.43	$102.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Facility		$5,011.87	$6,456.54	$7,762.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $102.33	Professional		$70.79	$81.28	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,120.11 / $12,882.50	Facility		$1,995.26	$9,120.11	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $107.15	Professional		$48.98	$75.86	$107.15