Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.03 / $253.27 / $409.76	Facility		$203.03	$253.27	$409.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $164.67 / $409.76	Professional		$101.23	$164.67	$409.76
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 $153.12 / $260.55 / $439.08	Professional		$153.12	$260.55	$439.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.19 / $272.02 / $411.44	Professional		$214.19	$272.02	$411.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $143.08 / $225.91 / $361.60	Facility		$143.08	$225.91	$361.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.68 / $250.58 / $373.20	Professional		$171.68	$250.58	$373.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.30 / $302.17 / $333.66	Facility		$181.30	$302.17	$333.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.08 / $225.91 / $396.10	Facility		$143.08	$225.91	$396.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.62 / $282.52 / $420.60	Professional		$191.62	$282.52	$420.60
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 $192.64 / $297.67 / $440.34	Professional		$192.64	$297.67	$440.34
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 $217.16 / $306.67 / $486.35	Professional		$217.16	$306.67	$486.35