Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $309.03 / $6,606.93	Facility		$190.55	$309.03	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $489.78	Professional		$97.72	$147.91	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $346.74	Professional		$123.03	$213.80	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $363.08	Professional		$173.78	$251.19	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $186.21 / $295.12	Facility		$107.15	$186.21	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $346.74	Professional		$151.36	$218.78	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $257.04 / $275.42	Facility		$190.55	$257.04	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $288.40	Facility		$102.33	$181.97	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $346.74	Professional		$79.43	$223.87	$346.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $851.14 / $1,023.29	Facility		$645.65	$851.14	$1,023.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $346.74	Professional		$181.97	$251.19	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,380.38 / $6,165.95	Facility		$389.05	$1,380.38	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $338.84	Professional		$141.25	$218.78	$338.84