Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.29 / $575.16 / $7,920.26	Facility		$281.29	$575.16	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.72 / $262.69 / $715.17	Professional		$131.72	$262.69	$715.17
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 $220.72 / $389.22 / $709.08	Professional		$220.72	$389.22	$709.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.94 / $387.03 / $675.12	Professional		$301.94	$387.03	$675.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.34 / $346.94 / $554.22	Facility		$199.34	$346.94	$554.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $235.90 / $376.86 / $596.87	Professional		$235.90	$376.86	$596.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $441.65 / $538.01	Facility		$264.92	$441.65	$538.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.34 / $362.97 / $622.50	Facility		$199.34	$362.97	$622.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.95 / $403.92 / $672.51	Professional		$264.95	$403.92	$672.51
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 $270.70 / $456.16 / $706.00	Professional		$270.70	$456.16	$706.00
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 $333.00 / $477.71 / $803.92	Professional		$333.00	$477.71	$803.92