Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $323.59 / $7,943.28	Facility		$263.03	$323.59	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $323.59	Professional		$114.82	$138.04	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $371.54	Professional		$154.88	$239.88	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $302.00	Professional		$204.17	$239.88	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $323.59	Facility		$123.03	$204.17	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $346.74	Professional		$186.21	$251.19	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $263.03	Facility		$208.93	$251.19	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $323.59	Facility		$125.89	$199.53	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $363.08	Professional		$79.43	$263.03	$363.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $346.74	Professional		$229.09	$269.15	$346.74
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 $138.04 / $251.19 / $380.19	Professional		$138.04	$251.19	$380.19