Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $7,943.28	Facility		$107.15	$141.25	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $281.84	Professional		$57.54	$89.13	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $245.47	Professional		$81.28	$147.91	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $223.87	Professional		$91.20	$144.54	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $114.82 / $204.17	Facility		$66.07	$114.82	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $234.42	Professional		$83.18	$141.25	$234.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $165.96 / $186.21	Facility		$117.49	$165.96	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $107.15 / $181.97	Facility		$66.07	$107.15	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $234.42	Professional		$79.43	$141.25	$234.42
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 $112.20 / $162.18 / $234.42	Professional		$112.20	$162.18	$234.42
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 $87.10 / $144.54 / $239.88	Professional		$87.10	$144.54	$239.88