Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.58 / $2,747.00 / $7,920.26	Facility		$375.58	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.73 / $231.41 / $524.41	Professional		$164.73	$231.41	$524.41
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 $206.65 / $363.04 / $543.57	Professional		$206.65	$363.04	$543.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.11 / $445.24 / $525.82	Professional		$380.11	$445.24	$525.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.53 / $322.39 / $461.55	Facility		$202.53	$322.39	$461.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.80 / $335.42 / $522.26	Professional		$283.80	$335.42	$522.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.33 / $344.32 / $395.97	Facility		$245.33	$344.32	$395.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.53 / $318.89 / $490.83	Facility		$202.53	$318.89	$490.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $317.52 / $385.15 / $530.84	Professional		$317.52	$385.15	$530.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $890.90	Facility		$564.70	$724.26	$890.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.25 / $461.28 / $609.64	Professional		$346.25	$461.28	$609.64
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 $255.78 / $367.09 / $602.87	Professional		$255.78	$367.09	$602.87