Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $6,606.93	Facility		$371.54	$616.60	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $602.56	Professional		$213.80	$269.15	$602.56
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 $263.03 / $457.09 / $691.83	Professional		$263.03	$457.09	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $676.08	Professional		$426.58	$537.03	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $389.05 / $616.60	Facility		$245.47	$389.05	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $660.69	Professional		$371.54	$457.09	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $489.78 / $537.03	Facility		$363.08	$489.78	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $562.34	Facility		$251.19	$389.05	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $478.63 / $676.08	Professional		$79.43	$478.63	$676.08
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 $407.38 / $512.86 / $707.95	Professional		$407.38	$512.86	$707.95
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 $309.03 / $457.09 / $676.08	Professional		$309.03	$457.09	$676.08