Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $741.31 / $39,810.72	Facility		$89.13	$741.31	$39,810.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $223.87	Professional		$43.65	$61.66	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $128.82	Professional		$57.54	$100.00	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $91.20 / $109.65	Professional		$40.74	$91.20	$109.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $97.72 / $6,606.93	Facility		$58.88	$97.72	$6,606.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $138.04	Professional		$54.95	$91.20	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $97.72	Facility		$70.79	$85.11	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $77.62 / $123.03	Facility		$52.48	$77.62	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $120.23	Professional		$69.18	$83.18	$120.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $134.90	Professional		$81.28	$102.33	$134.90
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 $64.57 / $102.33 / $128.82	Professional		$64.57	$102.33	$128.82