Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $107.07 / $118.19	Facility		$97.21	$107.07	$118.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $53.24 / $258.20	Professional		$49.80	$53.24	$258.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $109.31 / $146.52	Professional		$72.23	$109.31	$146.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $109.07 / $122.80	Professional		$76.94	$109.07	$122.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.96 / $96.84 / $142.54	Facility		$51.96	$96.84	$142.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $92.80 / $159.15	Professional		$78.03	$92.80	$159.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $93.13 / $99.83	Facility		$67.34	$93.13	$99.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.96 / $106.31 / $128.72	Facility		$51.96	$106.31	$128.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $116.77 / $147.63	Professional		$87.41	$116.77	$147.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $122.25 / $156.30	Professional		$92.25	$122.25	$156.30
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.97 / $108.04 / $159.58	Professional		$78.97	$108.04	$159.58