Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $245.47 / $6,606.93	Facility		$97.72	$245.47	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $104.71 / $204.17	Professional		$46.77	$104.71	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $141.25 / $309.03	Professional		$69.18	$141.25	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $251.19	Professional		$77.62	$123.03	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $131.83 / $346.74	Facility		$60.26	$131.83	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $169.82 / $269.15	Professional		$72.44	$169.82	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $204.17 / $223.87	Facility		$158.49	$204.17	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $120.23 / $251.19	Facility		$56.23	$120.23	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $275.42	Professional		$79.43	$123.03	$275.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $2,691.53	Facility		$1,737.80	$2,238.72	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $275.42	Professional		$93.33	$165.96	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,951.21 / $7,413.10	Facility		$1,096.48	$2,951.21	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $288.40	Professional		$75.86	$141.25	$288.40