Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $524.81 / $6,606.93	Facility		$309.03	$524.81	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $501.19	Professional		$181.97	$223.87	$501.19
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 $218.78 / $380.19 / $575.44	Professional		$218.78	$380.19	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $575.44	Professional		$371.54	$478.63	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $316.23 / $512.86	Facility		$204.17	$316.23	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $549.54	Professional		$302.00	$380.19	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $407.38 / $436.52	Facility		$302.00	$407.38	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $467.74	Facility		$204.17	$309.03	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $398.11 / $562.34	Professional		$79.43	$398.11	$562.34
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 $331.13 / $426.58 / $588.84	Professional		$331.13	$426.58	$588.84
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 $257.04 / $380.19 / $549.54	Professional		$257.04	$380.19	$549.54