Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $6,606.93 / $7,943.28	Facility		$102.33	$6,606.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $173.78	Professional		$61.66	$93.33	$173.78
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 $151.36 / $199.53 / $239.88	Professional		$151.36	$199.53	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $102.33 / $234.42	Facility		$77.62	$102.33	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $199.53	Professional		$69.18	$144.54	$199.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $52.48 / $83.18	Facility		$38.90	$52.48	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $102.33 / $177.83	Facility		$63.10	$102.33	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $186.21	Professional		$79.43	$117.49	$186.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $257.04	Professional		$138.04	$181.97	$257.04
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 $117.49 / $169.82 / $245.47	Professional		$117.49	$169.82	$245.47