Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $7,943.28 / $7,943.28	Facility		$114.82	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $120.23	Professional		$57.54	$97.72	$120.23
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 $173.78 / $229.09 / $275.42	Professional		$173.78	$229.09	$275.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $114.82 / $177.83	Facility		$69.18	$114.82	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $186.21	Professional		$70.79	$109.65	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $61.66 / $91.20	Facility		$46.77	$61.66	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $114.82 / $204.17	Facility		$70.79	$114.82	$204.17
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 $131.83 / $190.55 / $269.15	Professional		$131.83	$190.55	$269.15