Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.12 / $203.25 / $7,920.26	Facility		$126.12	$203.25	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.34 / $91.73 / $304.38	Professional		$58.34	$91.73	$304.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.58 / $147.08 / $243.43	Professional		$90.58	$147.08	$243.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $145.40 / $219.79	Professional		$106.17	$145.40	$219.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $138.61 / $208.25	Facility		$66.09	$138.61	$208.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $146.24 / $271.11	Professional		$91.26	$146.24	$271.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $159.16 / $184.92	Facility		$101.91	$159.16	$184.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $142.12 / $235.98	Facility		$66.09	$142.12	$235.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.08 / $165.53 / $249.27	Professional		$110.08	$165.53	$249.27
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 $111.35 / $169.14 / $260.56	Professional		$111.35	$169.14	$260.56
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 $133.12 / $208.90 / $292.57	Professional		$133.12	$208.90	$292.57