Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.42 / $362.70 / $7,920.26	Facility		$181.42	$362.70	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $169.07 / $406.76	Professional		$98.64	$169.07	$406.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.13 / $300.02 / $398.05	Professional		$156.13	$300.02	$398.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.07 / $298.39 / $353.78	Professional		$239.07	$298.39	$353.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.50 / $230.49 / $317.13	Facility		$147.50	$230.49	$317.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $233.77 / $408.46	Professional		$176.40	$233.77	$408.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.68 / $222.36 / $297.48	Facility		$150.68	$222.36	$297.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.50 / $259.79 / $382.71	Facility		$147.50	$259.79	$382.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.48 / $314.77 / $400.24	Professional		$204.48	$314.77	$400.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $763.05 / $997.66 / $1,243.51	Facility		$763.05	$997.66	$1,243.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $241.16 / $330.22 / $422.59	Professional		$241.16	$330.22	$422.59
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 $193.62 / $258.30 / $474.51	Professional		$193.62	$258.30	$474.51