Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $190.55 / $7,943.28	Facility		$125.89	$190.55	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $218.78	Professional		$75.86	$100.00	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $257.04	Professional		$97.72	$181.97	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $229.09	Professional		$109.65	$162.18	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $134.90 / $218.78	Facility		$93.33	$134.90	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $239.88	Professional		$109.65	$154.88	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $169.82 / $181.97	Facility		$125.89	$169.82	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $128.82 / $199.53	Facility		$89.13	$128.82	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $229.09	Professional		$79.43	$165.96	$229.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $977.24	Facility		$602.56	$776.25	$977.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $234.42	Professional		$138.04	$173.78	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,230.27 / $6,165.95	Facility		$389.05	$1,230.27	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $239.88	Professional		$104.71	$162.18	$239.88