Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.29 / $234.00 / $7,920.26	Facility		$103.29	$234.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $100.80 / $280.33	Professional		$45.43	$100.80	$280.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $140.21 / $270.18	Professional		$83.98	$140.21	$270.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $128.40 / $232.67	Professional		$87.79	$128.40	$232.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $144.37 / $248.20	Facility		$67.15	$144.37	$248.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $151.04 / $281.94	Professional		$73.95	$151.04	$281.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $174.76 / $194.97	Facility		$92.46	$174.76	$194.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $148.22 / $248.85	Facility		$67.15	$148.22	$248.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $145.26 / $266.80	Professional		$90.35	$145.26	$266.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $566.94 / $759.06 / $1,430.20	Facility		$566.94	$759.06	$1,430.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $160.16 / $274.77	Professional		$89.99	$160.16	$274.77
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 $147.87 / $209.68 / $308.52	Professional		$147.87	$209.68	$308.52