Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.48 / $111.48 / $122.91	Facility		$111.48	$111.48	$122.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $72.09 / $298.45	Professional		$53.35	$72.09	$298.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $113.62 / $159.66	Professional		$76.77	$113.62	$159.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $112.58 / $128.15	Professional		$79.64	$112.58	$128.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $107.67 / $155.02	Facility		$72.09	$107.67	$155.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $106.47 / $160.19	Professional		$80.59	$106.47	$160.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $97.01 / $113.90	Facility		$80.84	$97.01	$113.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $130.43 / $155.02	Facility		$72.09	$130.43	$155.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $122.40 / $162.61	Professional		$97.28	$122.40	$162.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $122.98 / $162.00	Professional		$96.24	$122.98	$162.00
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 $86.84 / $123.13 / $161.72	Professional		$86.84	$123.13	$161.72