Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.15 / $2,747.00 / $7,920.26	Facility		$445.15	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $247.39 / $653.39	Professional		$155.38	$247.39	$653.39
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 $228.79 / $425.75 / $666.87	Professional		$228.79	$425.75	$666.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.19 / $515.45 / $611.36	Professional		$409.19	$515.45	$611.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.60 / $339.10 / $491.25	Facility		$230.60	$339.10	$491.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $365.06 / $612.00	Professional		$252.60	$365.06	$612.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.07 / $399.75 / $493.12	Facility		$232.07	$399.75	$493.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.60 / $339.10 / $562.90	Facility		$230.60	$339.10	$562.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.82 / $460.80 / $626.40	Professional		$311.82	$460.80	$626.40
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 $370.24 / $505.84 / $672.41	Professional		$370.24	$505.84	$672.41
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 $289.68 / $440.19 / $758.89	Professional		$289.68	$440.19	$758.89