Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.13 / $2,854.50 / $7,574.68	Facility		$232.13	$2,854.50	$7,574.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $197.43 / $538.00	Professional		$123.07	$197.43	$538.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.37 / $300.32 / $402.20	Professional		$196.37	$300.32	$402.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $303.08 / $341.25	Professional		$213.68	$303.08	$341.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.73 / $282.37 / $405.77	Facility		$188.73	$282.37	$405.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.35 / $249.86 / $436.04	Professional		$219.35	$249.86	$436.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.28 / $260.30 / $274.02	Facility		$194.28	$260.30	$274.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.73 / $321.57 / $405.77	Facility		$188.73	$321.57	$405.77
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $52.42 / $52.42 / $52.42	Facility	80	$52.42	$52.42	$52.42
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $44.56 / $44.56 / $44.56	Facility	AS	$44.56	$44.56	$44.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.35 / $318.38 / $403.85	Professional		$246.35	$318.38	$403.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.70 / $335.58 / $429.04	Professional		$249.70	$335.58	$429.04
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.65 / $328.85 / $431.94	Professional		$206.65	$328.85	$431.94