Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $211.20 / $522.28	Facility		$83.42	$211.20	$522.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $93.94 / $370.00	Professional		$53.68	$93.94	$370.00
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 $74.58 / $122.92 / $225.27	Professional		$74.58	$122.92	$225.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $105.32 / $208.06	Professional		$84.40	$105.32	$208.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $121.16 / $197.51	Facility		$57.66	$121.16	$197.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $133.97 / $195.36	Professional		$70.75	$133.97	$195.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $92.86 / $154.77 / $170.18	Facility		$92.86	$154.77	$170.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $121.16 / $214.53	Facility		$57.66	$121.16	$214.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $135.44 / $217.25	Professional		$80.64	$135.44	$217.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $376.96 / $498.08 / $590.98	Facility		$376.96	$498.08	$590.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $145.18 / $231.76	Professional		$81.48	$145.18	$231.76
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $161.71 / $249.12	Professional		$117.81	$161.71	$249.12