Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $346.74 / $6,606.93	Facility		$204.17	$346.74	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $309.03	Professional		$120.23	$154.88	$309.03
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 $141.25 / $251.19 / $380.19	Professional		$141.25	$251.19	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $389.05	Professional		$251.19	$323.59	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $199.53 / $323.59	Facility		$131.83	$199.53	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $363.08	Professional		$194.98	$257.04	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $295.12	Facility		$194.98	$275.42	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $309.03	Facility		$125.89	$204.17	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $371.54	Professional		$79.43	$263.03	$371.54
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 $204.17 / $281.84 / $389.05	Professional		$204.17	$281.84	$389.05
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 / $251.19 / $371.54	Professional		$165.96	$251.19	$371.54