Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,818.38 / $15,135.61	Facility		$245.47	$2,818.38	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $389.05	Professional		$128.82	$151.36	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $398.11	Professional		$144.54	$257.04	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $331.13	Professional		$194.98	$257.04	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $218.78 / $4,677.35	Facility		$134.90	$218.78	$4,677.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $380.19	Professional		$204.17	$263.03	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $288.40	Facility		$234.42	$275.42	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $223.87 / $346.74	Facility		$141.25	$223.87	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $275.42 / $389.05	Professional		$79.43	$275.42	$389.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $426.58	Professional		$257.04	$295.12	$426.58
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 $186.21 / $281.84 / $398.11	Professional		$186.21	$281.84	$398.11