Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.19 / $207.57 / $530.32	Facility		$114.19	$207.57	$530.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $83.36 / $244.51	Professional		$43.79	$83.36	$244.51
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 $75.54 / $131.66 / $238.47	Professional		$75.54	$131.66	$238.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.23 / $140.94 / $231.91	Professional		$110.23	$140.94	$231.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $122.40 / $190.35	Facility		$72.09	$122.40	$190.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.93 / $133.43 / $206.18	Professional		$85.93	$133.43	$206.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.87 / $153.40 / $184.25	Facility		$94.87	$153.40	$184.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.42 / $124.44 / $206.55	Facility		$69.42	$124.44	$206.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $144.58 / $230.31	Professional		$94.38	$144.58	$230.31
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 $98.04 / $159.82 / $242.01	Professional		$98.04	$159.82	$242.01
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 $115.69 / $172.56 / $259.91	Professional		$115.69	$172.56	$259.91