Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $436.52 / $6,606.93	Facility		$75.86	$436.52	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $114.82 / $363.08	Professional		$37.15	$114.82	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $147.91 / $489.78	Professional		$52.48	$147.91	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $436.52	Professional		$61.66	$93.33	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $154.88 / $380.19	Facility		$42.66	$154.88	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $245.47 / $426.58	Professional		$57.54	$245.47	$426.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $354.81	Facility		$194.98	$288.40	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $144.54 / $354.81	Facility		$42.66	$144.54	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $478.63	Professional		$70.79	$102.33	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $257.04 / $436.52	Professional		$70.79	$257.04	$436.52
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 $46.77 / $138.04 / $407.38	Professional		$46.77	$138.04	$407.38