Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $4,073.80 / $7,079.46	Facility		$346.74	$4,073.80	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $676.08	Professional		$165.96	$204.17	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $524.81	Professional		$218.78	$371.54	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $398.11	Professional		$229.09	$302.00	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $331.13 / $5,011.87	Facility		$165.96	$331.13	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $501.19	Professional		$218.78	$295.12	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $331.13 / $346.74	Facility		$281.84	$331.13	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $234.42 / $436.52	Facility		$165.96	$234.42	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $338.84 / $467.74	Professional		$79.43	$338.84	$467.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $467.74	Professional		$331.13	$371.54	$467.74
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 $257.04 / $346.74 / $478.63	Professional		$257.04	$346.74	$478.63