Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $436.52 / $676.08	Facility		$354.81	$436.52	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $616.60	Professional		$30.20	$50.12	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $512.86	Professional		$302.00	$371.54	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $588.84	Professional		$436.52	$489.78	$588.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $4,897.79	Facility		$323.59	$323.59	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $389.05 / $660.69	Professional		$50.12	$389.05	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $478.63	Facility		$309.03	$363.08	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $4,466.84 / $6,309.57	Facility		$67.61	$4,466.84	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $389.05 / $524.81	Professional		$79.43	$389.05	$524.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $588.84	Professional		$407.38	$457.09	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $83.18	Professional		$48.98	$64.57	$83.18