Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.76 / $504.83 / $1,084.88	Facility		$143.76	$504.83	$1,084.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $118.33 / $407.00	Professional		$65.06	$118.33	$407.00
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 $98.62 / $165.56 / $262.97	Professional		$98.62	$165.56	$262.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $180.52 / $245.87	Professional		$142.59	$180.52	$245.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.47 / $142.30 / $216.81	Facility		$94.47	$142.30	$216.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $158.11 / $225.49	Professional		$113.10	$158.11	$225.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $180.78 / $199.66	Facility		$110.15	$180.78	$199.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.04 / $141.88 / $237.15	Facility		$92.04	$141.88	$237.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.63 / $178.19 / $252.56	Professional		$126.63	$178.19	$252.56
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 $125.47 / $185.53 / $265.66	Professional		$125.47	$185.53	$265.66
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 $129.94 / $189.00 / $302.51	Professional		$129.94	$189.00	$302.51