Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.26 / $257.89 / $7,920.26	Facility		$191.26	$257.89	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $128.22 / $486.00	Professional		$89.18	$128.22	$486.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $222.59 / $319.13	Professional		$130.08	$222.59	$319.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.22 / $225.18 / $289.61	Professional		$173.22	$225.18	$289.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.84 / $203.35 / $278.61	Facility		$122.84	$203.35	$278.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $189.47 / $324.97	Professional		$143.04	$189.47	$324.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $200.33 / $236.51	Facility		$127.43	$200.33	$236.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.84 / $213.25 / $296.89	Facility		$122.84	$213.25	$296.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $223.74 / $310.25	Professional		$159.06	$223.74	$310.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $598.00 / $773.56 / $1,044.82	Facility		$598.00	$773.56	$1,044.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.38 / $226.16 / $327.84	Professional		$166.38	$226.16	$327.84
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $224.70 / $368.11	Professional		$167.20	$224.70	$368.11