Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.78 / $3,213.00 / $7,920.26	Facility		$346.78	$3,213.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.85 / $248.77 / $678.59	Professional		$145.85	$248.77	$678.59
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 $235.28 / $401.10 / $679.36	Professional		$235.28	$401.10	$679.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.01 / $422.95 / $639.70	Professional		$332.01	$422.95	$639.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.19 / $349.77 / $557.62	Facility		$220.19	$349.77	$557.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.74 / $383.57 / $570.11	Professional		$262.74	$383.57	$570.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.51 / $464.31 / $513.89	Facility		$276.51	$464.31	$513.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.75 / $349.77 / $612.00	Facility		$216.75	$349.77	$612.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.14 / $434.24 / $648.88	Professional		$293.14	$434.24	$648.88
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 $295.68 / $459.43 / $679.62	Professional		$295.68	$459.43	$679.62
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 $332.64 / $481.43 / $747.33	Professional		$332.64	$481.43	$747.33