Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $977.24 / $7,943.28	Facility		$204.17	$977.24	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $190.55 / $501.19	Professional		$81.28	$190.55	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $512.86	Professional		$114.82	$234.42	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $446.68	Professional		$138.04	$199.53	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $208.93 / $467.74	Facility		$95.50	$208.93	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $275.42 / $446.68	Professional		$128.82	$275.42	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $380.19	Facility		$257.04	$363.08	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $194.98 / $436.52	Facility		$91.20	$194.98	$436.52
Providence Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $512.86	Professional		$79.43	$229.09	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $467.74	Professional		$158.49	$275.42	$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 $100.00 / $234.42 / $489.78	Professional		$100.00	$234.42	$489.78