Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $346.74 / $6,606.93	Facility		$123.03	$346.74	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $144.54 / $309.03	Professional		$60.26	$144.54	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $416.87	Professional		$85.11	$169.82	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $363.08	Professional		$100.00	$154.88	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $158.49 / $363.08	Facility		$67.61	$158.49	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $229.09 / $363.08	Professional		$93.33	$229.09	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $309.03	Facility		$194.98	$275.42	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $158.49 / $346.74	Facility		$67.61	$158.49	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $407.38	Professional		$79.43	$165.96	$407.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $380.19	Professional		$114.82	$223.87	$380.19
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 $74.13 / $162.18 / $380.19	Professional		$74.13	$162.18	$380.19