Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.73 / $273.00 / $364.88	Facility		$208.73	$273.00	$364.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $156.79 / $392.02	Professional		$105.76	$156.79	$392.02
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 $154.47 / $256.88 / $391.40	Professional		$154.47	$256.88	$391.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.16 / $280.79 / $354.16	Professional		$232.16	$280.79	$354.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.47 / $232.69 / $337.10	Facility		$148.47	$232.69	$337.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.40 / $241.86 / $356.47	Professional		$188.40	$241.86	$356.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.25 / $263.25 / $295.47	Facility		$166.25	$263.25	$295.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.90 / $231.63 / $351.90	Facility		$145.90	$231.63	$351.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $273.89 / $377.58	Professional		$211.05	$273.89	$377.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $376.96 / $498.08 / $590.98	Facility		$376.96	$498.08	$590.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.64 / $288.04 / $394.85	Professional		$206.64	$288.04	$394.85
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $279.48 / $443.23	Professional		$197.28	$279.48	$443.23