Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $316.23 / $6,606.93	Facility		$173.78	$316.23	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $151.36 / $338.84	Professional		$87.10	$151.36	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $380.19	Professional		$131.83	$223.87	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $338.84	Professional		$138.04	$213.80	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $5,011.87	Facility		$114.82	$194.98	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $398.11	Professional		$138.04	$234.42	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $263.03 / $288.40	Facility		$181.97	$263.03	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $177.83 / $323.59	Facility		$107.15	$177.83	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $363.08	Professional		$79.43	$218.78	$363.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $354.81	Professional		$165.96	$263.03	$354.81
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 / $234.42 / $389.05	Professional		$141.25	$234.42	$389.05