Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.52 / $221.71 / $7,920.26	Facility		$136.52	$221.71	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $96.61 / $270.49	Professional		$60.66	$96.61	$270.49
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 $98.68 / $167.96 / $270.79	Professional		$98.68	$167.96	$270.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.32 / $185.22 / $254.45	Professional		$146.32	$185.22	$254.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.94 / $139.80 / $210.98	Facility		$90.94	$139.80	$210.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $161.65 / $231.82	Professional		$114.21	$161.65	$231.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $101.75 / $168.85 / $205.69	Facility		$101.75	$168.85	$205.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.27 / $139.80 / $233.67	Facility		$90.27	$139.80	$233.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $181.32 / $259.72	Professional		$128.00	$181.32	$259.72
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 $128.00 / $189.27 / $268.92	Professional		$128.00	$189.27	$268.92
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 $129.93 / $195.30 / $310.79	Professional		$129.93	$195.30	$310.79