Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.45 / $662.23 / $5,116.62	Facility		$281.45	$662.23	$5,116.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $245.01 / $732.16	Professional		$124.85	$245.01	$732.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $383.38 / $924.23	Professional		$210.30	$383.38	$924.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.80 / $381.65 / $834.47	Professional		$300.80	$381.65	$834.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.68 / $378.57 / $671.57	Facility		$199.68	$378.57	$671.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.03 / $432.30 / $763.19	Professional		$230.03	$432.30	$763.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.88 / $503.17 / $694.12	Facility		$250.88	$503.17	$694.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.68 / $423.66 / $787.13	Facility		$199.68	$423.66	$787.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.16 / $422.75 / $895.00	Professional		$259.16	$422.75	$895.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $492.49 / $617.05 / $792.89	Facility		$492.49	$617.05	$792.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $268.81 / $452.97 / $935.13	Professional		$268.81	$452.97	$935.13
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 $396.52 / $568.91 / $1,099.31	Professional		$396.52	$568.91	$1,099.31