Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $251.19 / $389.05	Facility		$204.17	$251.19	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $354.81	Professional		$30.20	$47.86	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $257.04	Professional		$151.36	$186.21	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $338.84	Professional		$245.47	$281.84	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $5,011.87	Facility		$181.97	$181.97	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $223.87 / $380.19	Professional		$50.12	$223.87	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $208.93 / $288.40	Facility		$186.21	$208.93	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $4,466.84 / $6,309.57	Facility		$67.61	$4,466.84	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $275.42	Professional		$79.43	$194.98	$275.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $239.88 / $331.13	Professional		$229.09	$239.88	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $83.18	Professional		$48.98	$64.57	$83.18