Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.32 / $221.80 / $246.51	Facility		$203.32	$221.80	$246.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.97 / $142.99 / $537.19	Professional		$93.97	$142.99	$537.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.83 / $226.49 / $295.48	Professional		$151.83	$226.49	$295.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.78 / $226.88 / $255.45	Professional		$181.78	$226.88	$255.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.99 / $215.02 / $307.43	Facility		$142.99	$215.02	$307.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $182.40 / $318.29	Professional		$154.41	$182.40	$318.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.51 / $190.61 / $201.28	Facility		$146.51	$190.61	$201.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.99 / $236.89 / $307.43	Facility		$142.99	$236.89	$307.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.95 / $234.46 / $294.26	Professional		$179.95	$234.46	$294.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $182.67 / $245.33 / $313.64	Professional		$182.67	$245.33	$313.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,364.00 / $7,664.00 / $36,803.00	Facility		$2,364.00	$7,664.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.36 / $221.17 / $315.95	Professional		$152.36	$221.17	$315.95