Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $7,943.28 / $7,943.28	Facility		$223.87	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $229.09	Professional		$141.25	$141.25	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $478.63	Professional		$158.49	$208.93	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $208.93 / $489.78	Facility		$22.39	$208.93	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $354.81	Professional		$141.25	$141.25	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $128.82 / $223.87	Facility		$20.89	$128.82	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $144.54 / $346.74	Facility		$22.39	$144.54	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $79.43 / $467.74	Professional		$34.67	$79.43	$467.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $741.31 / $1,318.26	Facility		$489.78	$741.31	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $562.34	Professional		$204.17	$389.05	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $831.76	Professional		$389.05	$575.44	$831.76