Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $363.08 / $616.60	Facility		$269.15	$363.08	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $489.78	Professional		$128.82	$213.80	$489.78
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 $173.78 / $331.13 / $575.44	Professional		$173.78	$331.13	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $630.96	Professional		$251.19	$363.08	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $269.15 / $467.74	Facility		$144.54	$269.15	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $575.44	Professional		$229.09	$346.74	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $467.74	Facility		$302.00	$416.87	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $269.15 / $467.74	Facility		$144.54	$269.15	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $331.13 / $549.54	Professional		$79.43	$331.13	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $1,023.29	Facility		$645.65	$851.14	$1,023.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $588.84	Professional		$251.19	$380.19	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,380.38 / $6,165.95	Facility		$389.05	$1,380.38	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $537.03	Professional		$199.53	$323.59	$537.03