Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.83 / $2,747.00 / $7,920.26	Facility		$391.83	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $250.07 / $536.14	Professional		$160.13	$250.07	$536.14
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 $213.75 / $366.08 / $547.22	Professional		$213.75	$366.08	$547.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.41 / $431.92 / $497.98	Professional		$358.41	$431.92	$497.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.07 / $342.60 / $503.53	Facility		$250.07	$342.60	$503.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $292.48 / $344.72 / $531.87	Professional		$292.48	$344.72	$531.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.89 / $369.84 / $405.35	Facility		$258.89	$369.84	$405.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $340.86 / $505.42	Facility		$246.92	$340.86	$505.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $321.16 / $385.42 / $524.21	Professional		$321.16	$385.42	$524.21
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 $326.16 / $436.10 / $563.80	Professional		$326.16	$436.10	$563.80
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 $272.93 / $384.33 / $600.66	Professional		$272.93	$384.33	$600.66