Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.20 / $339.51 / $572.19	Facility		$266.20	$339.51	$572.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $222.89 / $614.47	Professional		$125.89	$222.89	$614.47
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 $208.82 / $352.49 / $613.54	Professional		$208.82	$352.49	$613.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.64 / $369.18 / $579.73	Professional		$288.64	$369.18	$579.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.14 / $307.56 / $502.67	Facility		$188.14	$307.56	$502.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.94 / $344.49 / $515.83	Professional		$227.94	$344.49	$515.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $237.87 / $408.85 / $464.98	Facility		$237.87	$408.85	$464.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.14 / $307.56 / $551.65	Facility		$188.14	$307.56	$551.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.27 / $379.02 / $581.23	Professional		$254.27	$379.02	$581.23
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 $258.89 / $413.32 / $613.21	Professional		$258.89	$413.32	$613.21
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 $286.12 / $429.19 / $670.77	Professional		$286.12	$429.19	$670.77