Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $239.88 / $6,606.93	Facility		$147.91	$239.88	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $223.87	Professional		$81.28	$109.65	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $275.42	Professional		$102.33	$173.78	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $269.15	Professional		$138.04	$204.17	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $141.25 / $234.42	Facility		$85.11	$141.25	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $257.04	Professional		$125.89	$177.83	$257.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $186.21 / $213.80	Facility		$141.25	$186.21	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $141.25 / $223.87	Facility		$89.13	$141.25	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $275.42	Professional		$79.43	$186.21	$275.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $269.15	Professional		$144.54	$194.98	$269.15
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 $85.11 / $165.96 / $269.15	Professional		$85.11	$165.96	$269.15