Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $186.21 / $7,943.28	Facility		$151.36	$186.21	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $346.74	Professional		$66.07	$95.50	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $223.87	Professional		$85.11	$162.18	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $177.83	Professional		$102.33	$134.90	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $125.89 / $257.04	Facility		$81.28	$125.89	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $208.93	Professional		$97.72	$134.90	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $144.54 / $151.36	Facility		$107.15	$144.54	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $186.21	Facility		$75.86	$112.20	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $208.93	Professional		$79.43	$144.54	$208.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $204.17	Professional		$144.54	$162.18	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $213.80	Professional		$97.72	$151.36	$213.80