Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $6,606.93 / $7,943.28	Facility		$104.71	$6,606.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $371.54	Professional		$61.66	$95.50	$371.54
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 $158.49 / $208.93 / $251.19	Professional		$158.49	$208.93	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $389.05	Facility		$75.86	$104.71	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $181.97 / $407.38	Professional		$70.79	$181.97	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $53.70 / $83.18	Facility		$39.81	$53.70	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $104.71 / $186.21	Facility		$64.57	$104.71	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $186.21	Professional		$79.43	$120.23	$186.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $251.19	Professional		$141.25	$186.21	$251.19
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 $120.23 / $173.78 / $245.47	Professional		$120.23	$173.78	$245.47