Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $327.43 / $7,920.26	Facility		$140.99	$327.43	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $140.97 / $391.03	Professional		$60.68	$140.97	$391.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $192.93 / $393.63	Professional		$108.01	$192.93	$393.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $181.43 / $352.49	Professional		$125.95	$181.43	$352.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.09 / $193.69 / $369.78	Facility		$90.09	$193.69	$369.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $219.60 / $427.32	Professional		$104.61	$219.60	$427.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.69 / $260.51 / $291.45	Facility		$118.69	$260.51	$291.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.09 / $221.89 / $376.71	Facility		$90.09	$221.89	$376.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $198.55 / $399.10	Professional		$121.60	$198.55	$399.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,709.94 / $4,743.41 / $6,039.89	Facility		$3,709.94	$4,743.41	$6,039.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $218.92 / $415.95	Professional		$123.01	$218.92	$415.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $301.35 / $467.04	Professional		$208.00	$301.35	$467.04