Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $123.03 / $7,943.28	Facility		$67.61	$123.03	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $109.65	Professional		$50.12	$63.10	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $162.18	Professional		$60.26	$114.82	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $125.89	Professional		$74.13	$104.71	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $85.11 / $144.54	Facility		$53.70	$85.11	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $141.25	Professional		$75.86	$97.72	$141.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $100.00 / $109.65	Facility		$81.28	$100.00	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $128.82	Facility		$54.95	$79.43	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $141.25	Professional		$72.44	$104.71	$141.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $144.54	Professional		$102.33	$107.15	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $154.88	Professional		$72.44	$109.65	$154.88