Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.39 / $230.01 / $311.20	Facility		$185.39	$230.01	$311.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $130.61 / $331.01	Professional		$79.70	$130.61	$331.01
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 $129.51 / $212.63 / $337.84	Professional		$129.51	$212.63	$337.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.64 / $242.57 / $310.77	Professional		$195.64	$242.57	$310.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.71 / $182.49 / $267.43	Facility		$120.71	$182.49	$267.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $195.76 / $304.48	Professional		$153.16	$195.76	$304.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.10 / $229.68 / $253.93	Facility		$141.10	$229.68	$253.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.87 / $183.73 / $294.64	Facility		$119.87	$183.73	$294.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.19 / $233.06 / $323.64	Professional		$172.19	$233.06	$323.64
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 $171.59 / $242.95 / $338.45	Professional		$171.59	$242.95	$338.45
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.27 / $243.59 / $392.09	Professional		$165.27	$243.59	$392.09