Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $269.15 / $6,606.93	Facility		$154.88	$269.15	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $269.15	Professional		$72.44	$120.23	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $295.12	Professional		$97.72	$173.78	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $309.03	Professional		$138.04	$208.93	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $141.25 / $251.19	Facility		$79.43	$141.25	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $295.12	Professional		$120.23	$177.83	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $239.88	Facility		$141.25	$204.17	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $151.36 / $245.47	Facility		$83.18	$151.36	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $295.12	Professional		$79.43	$186.21	$295.12
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 / $204.17 / $295.12	Professional		$144.54	$204.17	$295.12
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 $109.65 / $169.82 / $269.15	Professional		$109.65	$169.82	$269.15