Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $199.53	Facility		$89.13	$117.49	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $154.88	Professional		$45.71	$70.79	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $208.93	Professional		$66.07	$123.03	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $173.78	Professional		$75.86	$117.49	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $91.20 / $147.91	Facility		$54.95	$91.20	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $165.96	Professional		$70.79	$107.15	$165.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $128.82 / $158.49	Facility		$87.10	$128.82	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $89.13 / $147.91	Facility		$54.95	$89.13	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $194.98	Professional		$77.62	$114.82	$194.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $741.31	Facility		$467.74	$630.96	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $199.53	Professional		$93.33	$141.25	$199.53
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 $72.44 / $117.49 / $194.98	Professional		$72.44	$117.49	$194.98