Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.99 / $1,606.50 / $7,920.26	Facility		$98.99	$1,606.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $119.79 / $314.00	Professional		$51.71	$119.79	$314.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $130.47 / $295.04	Professional		$89.16	$130.47	$295.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $140.27 / $266.38	Professional		$95.47	$140.27	$266.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $127.86 / $213.90	Facility		$59.47	$127.86	$213.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $140.40 / $337.53	Professional		$80.59	$140.40	$337.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $141.44 / $221.77	Facility		$93.94	$141.44	$221.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $137.91 / $284.89	Facility		$59.47	$137.91	$284.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $145.91 / $294.85	Professional		$96.85	$145.91	$294.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $159.54 / $342.37 / $432.56	Facility		$159.54	$342.37	$432.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.11 / $159.87 / $314.57	Professional		$97.11	$159.87	$314.57
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $191.58 / $367.37	Professional		$131.08	$191.58	$367.37