Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.98 / $2,027.30 / $14,985.43	Facility		$276.98	$2,027.30	$14,985.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.55 / $150.88 / $481.60	Professional		$128.55	$150.88	$481.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.51 / $272.35 / $422.85	Professional		$175.51	$272.35	$422.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.32 / $307.43 / $364.41	Professional		$259.32	$307.43	$364.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.46 / $273.93 / $403.56	Facility		$199.46	$273.93	$403.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.10 / $262.88 / $403.37	Professional		$231.10	$262.88	$403.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.40 / $276.67 / $289.68	Facility		$206.40	$276.67	$289.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.46 / $285.83 / $368.98	Facility		$199.46	$285.83	$368.98
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $54.99 / $54.99 / $54.99	Facility	80	$54.99	$54.99	$54.99
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $46.74 / $46.74 / $46.74	Facility	AS	$46.74	$46.74	$46.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.80 / $295.63 / $399.85	Professional		$259.80	$295.63	$399.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $264.45 / $335.61 / $451.07	Professional		$264.45	$335.61	$451.07
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $296.80 / $445.46	Professional		$207.76	$296.80	$445.46