Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $6,606.93	Facility		$158.49	$263.03	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $281.84	Professional		$93.33	$117.49	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $302.00	Professional		$123.03	$194.98	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $281.84	Professional		$125.89	$218.78	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $281.84	Facility		$100.00	$165.96	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $302.00	Professional		$173.78	$223.87	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $239.88	Facility		$190.55	$223.87	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $263.03	Facility		$117.49	$169.82	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $302.00	Professional		$79.43	$218.78	$302.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $323.59	Professional		$177.83	$239.88	$323.59
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 $141.25 / $213.80 / $309.03	Professional		$141.25	$213.80	$309.03