Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $478.63 / $6,606.93	Facility		$281.84	$478.63	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $489.78	Professional		$169.82	$213.80	$489.78
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 $199.53 / $354.81 / $537.03	Professional		$199.53	$354.81	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $501.19	Professional		$331.13	$416.87	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $467.74	Facility		$181.97	$302.00	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $478.63	Professional		$288.40	$346.74	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $407.38	Facility		$275.42	$371.54	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $302.00 / $426.58	Facility		$186.21	$302.00	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $363.08 / $512.86	Professional		$79.43	$363.08	$512.86
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 $316.23 / $389.05 / $537.03	Professional		$316.23	$389.05	$537.03
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 $234.42 / $354.81 / $512.86	Professional		$234.42	$354.81	$512.86