Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $6,606.93	Facility		$95.50	$131.83	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $141.25	Professional		$52.48	$66.07	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $162.18	Professional		$61.66	$104.71	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $138.04	Professional		$87.10	$109.65	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $95.50 / $158.49	Facility		$56.23	$95.50	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $151.36	Professional		$81.28	$107.15	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $120.23	Facility		$87.10	$114.82	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $95.50 / $158.49	Facility		$57.54	$95.50	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $158.49	Professional		$79.43	$114.82	$158.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $154.88	Professional		$97.72	$117.49	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $109.65 / $169.82	Professional		$57.54	$109.65	$169.82