Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.31 / $307.72 / $7,920.26	Facility		$103.31	$307.72	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $169.24 / $360.35	Professional		$64.29	$169.24	$360.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $107.24 / $107.24	Facility		$107.24	$107.24	$107.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.49 / $198.57 / $536.40	Professional		$102.49	$198.57	$536.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $186.50 / $498.53	Professional		$136.69	$186.50	$498.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.53 / $180.60 / $432.13	Facility		$79.53	$180.60	$432.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.09 / $271.05 / $506.12	Professional		$112.09	$271.05	$506.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $335.00 / $399.32	Facility		$133.38	$335.00	$399.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.53 / $187.09 / $463.25	Facility		$79.53	$187.09	$463.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $245.35 / $515.74	Professional		$125.80	$245.35	$515.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $347.93 / $632.01 / $795.87	Facility		$347.93	$632.01	$795.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $226.98 / $517.44	Professional		$121.44	$226.98	$517.44
United Facility/Professional Professional Modifier Low / Median / High Price $204.12 / $374.22 / $586.05	Professional		$204.12	$374.22	$586.05