Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $302.00 / $7,943.28	Facility		$208.93	$302.00	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $416.87	Professional		$112.20	$162.18	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $407.38	Professional		$154.88	$281.84	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $354.81	Professional		$162.18	$245.47	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $346.74	Facility		$141.25	$208.93	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $363.08	Professional		$162.18	$229.09	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $295.12	Facility		$194.98	$269.15	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $204.17 / $323.59	Facility		$134.90	$204.17	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $257.04 / $371.54	Professional		$79.43	$257.04	$371.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $758.58	Facility		$489.78	$630.96	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $380.19	Professional		$208.93	$281.84	$380.19
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 $147.91 / $251.19 / $371.54	Professional		$147.91	$251.19	$371.54