Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $285.16 / $948.69	Facility		$217.02	$285.16	$948.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.93 / $141.31 / $277.14	Professional		$98.93	$141.31	$277.14
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 $137.69 / $227.89 / $344.83	Professional		$137.69	$227.89	$344.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.91 / $246.93 / $312.94	Professional		$203.91	$246.93	$312.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $213.12 / $304.43	Facility		$140.10	$213.12	$304.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $216.92 / $312.98	Professional		$166.99	$216.92	$312.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $242.23 / $259.95	Facility		$159.19	$242.23	$259.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $213.74 / $327.79	Facility		$140.10	$213.74	$327.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.64 / $244.59 / $334.25	Professional		$184.64	$244.59	$334.25
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 Facility Modifier 50 Low / Median / High Price $971.66 / $1,229.70 / $1,545.44	Facility	50	$971.66	$1,229.70	$1,545.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.52 / $253.41 / $356.75	Professional		$187.52	$253.41	$356.75
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 $186.00 / $260.39 / $402.63	Professional		$186.00	$260.39	$402.63