Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $88.23 / $2,173.08	Facility		$79.98	$88.23	$2,173.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $135.28 / $268.87	Professional		$45.20	$135.28	$268.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $112.62 / $257.61	Professional		$75.08	$112.62	$257.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $80.84 / $92.03	Professional		$57.17	$80.84	$92.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $127.58 / $338.45	Facility		$64.41	$127.58	$338.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $95.53 / $250.71	Professional		$58.71	$95.53	$250.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.31 / $142.71 / $263.31	Facility		$60.31	$142.71	$263.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $126.74 / $338.45	Facility		$64.41	$126.74	$338.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $123.38 / $300.20	Professional		$79.22	$123.38	$300.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $97.68 / $208.03	Professional		$73.98	$97.68	$208.03
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 $95.84 / $202.50 / $305.51	Professional		$95.84	$202.50	$305.51