Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $108.57 / $129.58	Professional		$47.72	$108.57	$129.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.44 / $244.65 / $377.23	Professional		$177.44	$244.65	$377.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.31 / $253.64 / $302.37	Professional		$218.31	$253.64	$302.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $129.58 / $238.43	Facility		$56.39	$129.58	$238.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $53.57 / $207.03	Facility		$42.06	$53.57	$207.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.39 / $129.58 / $245.10	Facility		$56.39	$129.58	$245.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $197.81 / $279.75	Professional		$68.87	$197.81	$279.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $754.67 / $945.34 / $1,182.96	Facility		$754.67	$945.34	$1,182.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $206.80 / $277.54	Professional		$119.39	$206.80	$277.54
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 $128.66 / $183.80 / $300.25	Professional		$128.66	$183.80	$300.25