Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.47 / $114.73 / $192.55	Facility		$95.47	$114.73	$192.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $84.59 / $248.35	Professional		$49.43	$84.59	$248.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $119.41 / $206.01	Professional		$73.68	$119.41	$206.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $122.99 / $186.02	Professional		$87.92	$122.99	$186.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $115.37 / $167.53	Facility		$54.99	$115.37	$167.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $123.82 / $229.86	Professional		$75.78	$123.82	$229.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $123.08 / $156.78	Facility		$81.20	$123.08	$156.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $118.23 / $202.51	Facility		$54.99	$118.23	$202.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $133.16 / $205.92	Professional		$90.61	$133.16	$205.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $468.03 / $608.69 / $745.96	Facility		$468.03	$608.69	$745.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $145.15 / $223.61	Professional		$92.58	$145.15	$223.61
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 $107.06 / $160.90 / $248.73	Professional		$107.06	$160.90	$248.73