Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $288.40 / $7,943.28	Facility		$138.04	$288.40	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $288.40	Professional		$60.26	$117.49	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $323.59	Professional		$95.50	$173.78	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $316.23	Professional		$102.33	$141.25	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $165.96 / $331.13	Facility		$77.62	$165.96	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $218.78 / $309.03	Professional		$104.71	$218.78	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $245.47 / $257.04	Facility		$173.78	$245.47	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $151.36 / $288.40	Facility		$75.86	$151.36	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $323.59	Professional		$79.43	$169.82	$323.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $323.59	Professional		$131.83	$234.42	$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 $100.00 / $177.83 / $331.13	Professional		$100.00	$177.83	$331.13