Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $223.87	Professional		$72.44	$112.20	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $302.00	Professional		$104.71	$177.83	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $295.12	Professional		$97.72	$169.82	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $138.04 / $257.04	Facility		$81.28	$138.04	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $363.08	Professional		$100.00	$177.83	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $223.87 / $223.87	Facility		$147.91	$223.87	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $138.04 / $257.04	Facility		$87.10	$138.04	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $331.13	Professional		$79.43	$190.55	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $302.00	Professional		$131.83	$199.53	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $10,232.93 / $10,715.19	Facility		$7,585.78	$10,232.93	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $158.49 / $295.12	Professional		$75.86	$158.49	$295.12