Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $6,606.93 / $7,943.28	Facility		$177.83	$6,606.93	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $112.20 / $251.19	Professional		$18.20	$112.20	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $128.82	Professional		$89.13	$112.20	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $257.04 / $7,943.28	Facility		$36.31	$257.04	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $177.83 / $4,677.35	Professional		$25.12	$177.83	$4,677.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.45 / $16.60	Facility		$13.18	$14.45	$16.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $177.83 / $245.47	Facility		$29.51	$177.83	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $75.86 / $169.82	Professional		$32.36	$75.86	$169.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $194.98 / $245.47	Facility		$154.88	$194.98	$245.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $316.23	Professional		$46.77	$58.88	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,071.52 / $6,165.95	Facility		$218.78	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $72.44	Professional		$35.48	$52.48	$72.44