Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $7,943.28 / $7,943.28	Facility		$112.20	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $123.03	Professional		$57.54	$95.50	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $269.15	Professional		$169.82	$223.87	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $186.21	Facility		$77.62	$112.20	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $186.21	Professional		$70.79	$112.20	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $61.66 / $91.20	Facility		$45.71	$61.66	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $112.20 / $199.53	Facility		$70.79	$112.20	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $204.17	Professional		$79.43	$138.04	$204.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $275.42	Professional		$154.88	$204.17	$275.42
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 $128.82 / $190.55 / $269.15	Professional		$128.82	$190.55	$269.15