Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $7,943.28	Facility		$478.63	$812.83	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $794.33	Professional		$288.40	$354.81	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $912.01	Professional		$331.13	$588.84	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $933.25	Professional		$616.60	$776.25	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $758.58	Facility		$323.59	$478.63	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $870.96	Professional		$478.63	$588.84	$870.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $691.83	Facility		$436.52	$602.56	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $741.31	Facility		$323.59	$478.63	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $616.60 / $870.96	Professional		$79.43	$616.60	$870.96
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 $489.78 / $676.08 / $933.25	Professional		$489.78	$676.08	$933.25
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 $398.11 / $588.84 / $870.96	Professional		$398.11	$588.84	$870.96