Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.50 / $3,641.50 / $7,920.26	Facility		$239.50	$3,641.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $194.72 / $270.30	Professional		$100.12	$194.72	$270.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $286.49 / $347.45	Professional		$129.72	$286.49	$347.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $230.61 / $256.13	Professional		$194.25	$230.61	$256.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.47 / $194.72 / $278.45	Facility		$120.47	$194.72	$278.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.85 / $138.85 / $172.43	Professional		$138.85	$138.85	$172.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $103.57 / $110.87	Facility		$66.52	$103.57	$110.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.10 / $194.72 / $278.45	Facility		$125.10	$194.72	$278.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.78 / $270.95 / $371.87	Professional		$170.78	$270.95	$371.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.94 / $249.20 / $347.54	Professional		$234.94	$249.20	$347.54
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.24 / $205.08 / $305.74	Professional		$134.24	$205.08	$305.74