Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $776.25 / $6,606.93	Facility		$331.13	$776.25	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $331.13 / $676.08	Professional		$154.88	$331.13	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $933.25	Professional		$218.78	$426.58	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $912.01	Professional		$275.42	$398.11	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $371.54 / $794.33	Facility		$173.78	$371.54	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $512.86 / $870.96	Professional		$257.04	$512.86	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $691.83	Facility		$436.52	$630.96	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $363.08 / $741.31	Facility		$173.78	$363.08	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $426.58 / $933.25	Professional		$79.43	$426.58	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $851.14	Professional		$302.00	$512.86	$851.14
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 $190.55 / $407.38 / $870.96	Professional		$190.55	$407.38	$870.96