Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.02 / $183.14 / $7,920.26	Facility		$106.02	$183.14	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $96.83 / $262.00	Professional		$49.18	$96.83	$262.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $129.69 / $220.94	Professional		$80.28	$129.69	$220.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $131.59 / $199.56	Professional		$89.22	$131.59	$199.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $115.37 / $187.00	Facility		$55.39	$115.37	$187.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $131.32 / $227.02	Professional		$76.86	$131.32	$227.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.42 / $140.03 / $166.16	Facility		$84.42	$140.03	$166.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $119.09 / $212.81	Facility		$55.39	$119.09	$212.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $140.91 / $220.63	Professional		$91.74	$140.91	$220.63
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 $93.87 / $152.53 / $234.98	Professional		$93.87	$152.53	$234.98
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 $117.52 / $164.17 / $263.85	Professional		$117.52	$164.17	$263.85