Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $354.81 / $7,943.28	Facility		$120.23	$354.81	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $158.49 / $478.63	Professional		$60.26	$158.49	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $398.11	Professional		$77.62	$173.78	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $338.84	Professional		$74.13	$123.03	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $173.78 / $407.38	Facility		$66.07	$173.78	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $208.93 / $331.13	Professional		$74.13	$208.93	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $281.84 / $316.23	Facility		$213.80	$281.84	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $158.49 / $331.13	Facility		$61.66	$158.49	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $389.05	Professional		$79.43	$154.88	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $758.58	Facility		$489.78	$630.96	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $389.05	Professional		$102.33	$199.53	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $1,000.00	Facility		$602.56	$758.58	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $186.21 / $389.05	Professional		$91.20	$186.21	$389.05