Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $407.38 / $6,606.93	Facility		$213.80	$407.38	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $426.58	Professional		$134.90	$158.49	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $426.58	Professional		$154.88	$275.42	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $446.68	Professional		$302.00	$380.19	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $354.81	Facility		$154.88	$223.87	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $416.87	Professional		$218.78	$295.12	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $316.23	Facility		$194.98	$269.15	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $346.74	Facility		$154.88	$223.87	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $288.40 / $416.87	Professional		$79.43	$288.40	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $426.58	Professional		$229.09	$309.03	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $398.11	Professional		$186.21	$275.42	$398.11