Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.64 / $697.96 / $7,920.26	Facility		$302.64	$697.96	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.91 / $275.33 / $748.16	Professional		$163.91	$275.33	$748.16
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 $260.31 / $446.42 / $749.03	Professional		$260.31	$446.42	$749.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.90 / $470.21 / $705.23	Professional		$371.90	$470.21	$705.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $246.05 / $385.79 / $616.28	Facility		$246.05	$385.79	$616.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.22 / $423.30 / $636.94	Professional		$295.22	$423.30	$636.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.74 / $503.10 / $567.49	Facility		$308.74	$503.10	$567.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $246.05 / $385.79 / $671.50	Facility		$246.05	$385.79	$671.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.64 / $485.76 / $716.06	Professional		$327.64	$485.76	$716.06
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 $330.24 / $506.79 / $749.68	Professional		$330.24	$506.79	$749.68
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 $369.35 / $522.24 / $853.66	Professional		$369.35	$522.24	$853.66