Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.72 / $3,472.60 / $7,920.26	Facility		$187.72	$3,472.60	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $139.66 / $458.41	Professional		$78.14	$139.66	$458.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $223.43 / $361.07	Professional		$132.94	$223.43	$361.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.69 / $217.32 / $325.99	Professional		$158.69	$217.32	$325.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.75 / $196.51 / $350.20	Facility		$114.75	$196.51	$350.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.29 / $233.22 / $437.13	Professional		$139.29	$233.22	$437.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.61 / $256.88 / $289.68	Facility		$147.61	$256.88	$289.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.75 / $209.16 / $350.20	Facility		$114.75	$209.16	$350.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.72 / $257.63 / $404.84	Professional		$165.72	$257.63	$404.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $260.77 / $385.63	Professional		$167.68	$260.77	$385.63
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 $231.40 / $306.62 / $433.00	Professional		$231.40	$306.62	$433.00