Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $263.03 / $724.44	Facility		$144.54	$263.03	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $363.08	Professional		$79.43	$138.04	$363.08
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 $97.72 / $173.78 / $281.84	Professional		$97.72	$173.78	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $257.04	Professional		$138.04	$190.55	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $151.36 / $323.59	Facility		$87.10	$151.36	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $269.15	Professional		$125.89	$177.83	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $204.17 / $229.09	Facility		$165.96	$204.17	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $151.36 / $251.19	Facility		$85.11	$151.36	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $269.15	Professional		$79.43	$181.97	$269.15
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 $144.54 / $199.53 / $269.15	Professional		$144.54	$199.53	$269.15
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 $114.82 / $177.83 / $269.15	Professional		$114.82	$177.83	$269.15