Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $389.50 / $915.58	Facility		$161.47	$389.50	$915.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $135.24 / $419.71	Professional		$80.00	$135.24	$419.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $179.66 / $282.58	Professional		$109.30	$179.66	$282.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $201.49 / $255.14	Professional		$166.60	$201.49	$255.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.68 / $177.34 / $300.16	Facility		$113.68	$177.34	$300.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.43 / $177.32 / $263.68	Professional		$131.43	$177.32	$263.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.16 / $195.73 / $260.69	Facility		$135.16	$195.73	$260.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.26 / $179.98 / $282.20	Facility		$112.26	$179.98	$282.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $200.32 / $275.80	Professional		$148.60	$200.32	$275.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $207.88 / $284.85	Professional		$150.69	$207.88	$284.85
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 $141.90 / $218.05 / $324.27	Professional		$141.90	$218.05	$324.27