Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.20 / $534.76 / $7,920.26	Facility		$315.20	$534.76	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $268.66 / $698.47	Professional		$150.97	$268.66	$698.47
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 $241.71 / $417.21 / $755.72	Professional		$241.71	$417.21	$755.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $336.01 / $429.90 / $713.22	Professional		$336.01	$429.90	$713.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.92 / $366.74 / $579.82	Facility		$222.92	$366.74	$579.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $373.98 / $633.28	Professional		$259.83	$373.98	$633.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.66 / $464.98 / $570.84	Facility		$266.66	$464.98	$570.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.92 / $375.79 / $602.71	Facility		$222.92	$375.79	$602.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.83 / $441.25 / $715.90	Professional		$294.83	$441.25	$715.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $647.77 / $819.80 / $1,030.29	Facility		$647.77	$819.80	$1,030.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.33 / $504.96 / $739.29	Professional		$302.33	$504.96	$739.29
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 $353.95 / $526.46 / $878.79	Professional		$353.95	$526.46	$878.79