Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.25 / $188.33 / $600.66	Facility		$132.25	$188.33	$600.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $101.43 / $260.25	Professional		$61.92	$101.43	$260.25
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 $97.95 / $164.48 / $260.54	Professional		$97.95	$164.48	$260.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $179.58 / $245.01	Professional		$141.88	$179.58	$245.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.25 / $142.03 / $213.84	Facility		$92.25	$142.03	$213.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $157.36 / $228.80	Professional		$111.36	$157.36	$228.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.36 / $179.56 / $197.65	Facility		$111.36	$179.56	$197.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.43 / $138.25 / $235.45	Facility		$89.43	$138.25	$235.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $176.40 / $250.01	Professional		$124.74	$176.40	$250.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $376.96 / $498.08 / $624.04	Facility		$376.96	$498.08	$624.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $182.87 / $263.83	Professional		$123.62	$182.87	$263.83
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 $128.63 / $188.29 / $300.43	Professional		$128.63	$188.29	$300.43