Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $223.87 / $251.19	Facility		$141.25	$223.87	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $251.19	Professional		$89.13	$107.15	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $302.00	Professional		$117.49	$218.78	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $239.88	Professional		$138.04	$181.97	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $169.82 / $263.03	Facility		$102.33	$169.82	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $263.03	Professional		$141.25	$181.97	$263.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $204.17	Facility		$162.18	$194.98	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $239.88	Facility		$102.33	$151.36	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $275.42	Professional		$79.43	$194.98	$275.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $269.15	Professional		$186.21	$213.80	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $281.84	Professional		$131.83	$199.53	$281.84