Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $436.52 / $7,943.28	Facility		$331.13	$436.52	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $630.96	Professional		$151.36	$275.42	$630.96
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 $208.93 / $416.87 / $741.31	Professional		$208.93	$416.87	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $831.76	Professional		$309.03	$446.68	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $338.84 / $616.60	Facility		$173.78	$338.84	$616.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $741.31	Professional		$263.03	$416.87	$741.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $501.19 / $602.56	Facility		$363.08	$501.19	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $331.13 / $602.56	Facility		$169.82	$331.13	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $707.95	Professional		$79.43	$416.87	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $602.56	Facility		$380.19	$501.19	$602.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $758.58	Professional		$309.03	$457.09	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $676.08	Professional		$239.88	$398.11	$676.08