Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $7,943.28	Facility		$95.50	$120.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $158.49	Professional		$45.71	$77.62	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $218.78	Professional		$67.61	$123.03	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $199.53	Professional		$77.62	$120.23	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $97.72 / $177.83	Facility		$54.95	$97.72	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $213.80	Professional		$70.79	$125.89	$213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $144.54 / $165.96	Facility		$104.71	$144.54	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $97.72 / $162.18	Facility		$54.95	$97.72	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $208.93	Professional		$79.43	$120.23	$208.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,230.27	Facility		$758.58	$1,000.00	$1,230.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $213.80	Professional		$93.33	$144.54	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,513.56 / $6,165.95	Facility		$389.05	$1,513.56	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $213.80	Professional		$72.44	$123.03	$213.80