Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $151.36 / $489.78	Facility		$95.50	$151.36	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $112.20 / $251.19	Professional		$40.74	$112.20	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $128.82 / $323.59	Professional		$58.88	$128.82	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $323.59	Professional		$67.61	$131.83	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $134.90 / $288.40	Facility		$46.77	$134.90	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $194.98 / $316.23	Professional		$66.07	$194.98	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $234.42 / $263.03	Facility		$169.82	$234.42	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $128.82 / $288.40	Facility		$43.65	$128.82	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $331.13	Professional		$77.62	$114.82	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $758.58 / $1,258.93	Facility		$512.86	$758.58	$1,258.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $141.25 / $323.59	Professional		$77.62	$141.25	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,621.81	Facility		$1,000.00	$1,230.27	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $134.90 / $323.59	Professional		$63.10	$134.90	$323.59