Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $645.65 / $6,606.93	Facility		$275.42	$645.65	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $602.56	Professional		$141.25	$251.19	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $691.83	Professional		$234.42	$436.52	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $616.60	Professional		$269.15	$426.58	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $281.84 / $524.81	Facility		$186.21	$281.84	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $602.56	Professional		$213.80	$309.03	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $436.52 / $537.03	Facility		$245.47	$436.52	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $263.03 / $436.52	Facility		$173.78	$263.03	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $389.05 / $676.08	Professional		$79.43	$389.05	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $691.83	Professional		$338.84	$489.78	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $7,585.78 / $31,622.78	Facility		$177.83	$7,585.78	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $602.56	Professional		$177.83	$354.81	$602.56