Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.96 / $893.63 / $7,920.26	Facility		$199.96	$893.63	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $142.16 / $563.00	Professional		$92.74	$142.16	$563.00
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 $141.53 / $232.90 / $368.88	Professional		$141.53	$232.90	$368.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.24 / $259.76 / $339.09	Professional		$206.24	$259.76	$339.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.47 / $206.71 / $306.64	Facility		$135.47	$206.71	$306.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $224.17 / $320.42	Professional		$166.07	$224.17	$320.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.99 / $256.05 / $276.70	Facility		$157.99	$256.05	$276.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.43 / $206.59 / $334.90	Facility		$132.43	$206.59	$334.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $253.50 / $354.55	Professional		$183.96	$253.50	$354.55
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 $185.73 / $264.14 / $371.20	Professional		$185.73	$264.14	$371.20
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 $188.64 / $265.64 / $430.03	Professional		$188.64	$265.64	$430.03