Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $831.76 / $2,884.03	Facility		$89.13	$831.76	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $186.21 / $457.09	Professional		$42.66	$186.21	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $208.93 / $575.44	Professional		$60.26	$208.93	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $512.86	Professional		$72.44	$109.65	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $208.93 / $489.78	Facility		$51.29	$208.93	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $295.12 / $512.86	Professional		$66.07	$295.12	$512.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $416.87	Facility		$257.04	$363.08	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $186.21 / $446.68	Facility		$47.86	$186.21	$446.68
Providence Facility/Professional Facility Modifier 52 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	52	$58.88	$58.88	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $549.54	Professional		$79.43	$120.23	$549.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $257.04 / $512.86	Professional		$81.28	$257.04	$512.86
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 $52.48 / $169.82 / $501.19	Professional		$52.48	$169.82	$501.19