Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $7,943.28	Facility		$263.03	$346.74	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $331.13	Professional		$112.20	$134.90	$331.13
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 $134.90 / $239.88 / $363.08	Professional		$134.90	$239.88	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $323.59	Professional		$204.17	$269.15	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $194.98 / $5,011.87	Facility		$131.83	$194.98	$5,011.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $354.81	Professional		$186.21	$239.88	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $269.15	Facility		$190.55	$245.47	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $288.40	Facility		$128.82	$186.21	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $363.08	Professional		$79.43	$263.03	$363.08
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 $213.80 / $275.42 / $371.54	Professional		$213.80	$275.42	$371.54
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 $165.96 / $239.88 / $354.81	Professional		$165.96	$239.88	$354.81