Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.54 / $116.54 / $129.82	Facility		$116.54	$116.54	$129.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $74.88 / $312.45	Professional		$52.92	$74.88	$312.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $118.71 / $167.81	Professional		$80.64	$118.71	$167.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $119.24 / $135.74	Professional		$84.30	$119.24	$135.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.88 / $110.66 / $160.99	Facility		$74.88	$110.66	$160.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $114.23 / $171.87	Professional		$86.46	$114.23	$171.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.32 / $102.70 / $119.93	Facility		$82.32	$102.70	$119.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.88 / $134.46 / $160.99	Facility		$74.88	$134.46	$160.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $128.80 / $173.32	Professional		$102.72	$128.80	$173.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $130.27 / $171.59	Professional		$101.94	$130.27	$171.59
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 $92.56 / $130.66 / $171.29	Professional		$92.56	$130.66	$171.29