Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $218.78 / $524.81	Facility		$102.33	$218.78	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $208.93	Professional		$47.86	$91.20	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $223.87	Professional		$66.07	$123.03	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $269.15	Professional		$107.15	$141.25	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $112.20 / $223.87	Facility		$57.54	$112.20	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $229.09	Professional		$85.11	$134.90	$229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $186.21	Facility		$107.15	$158.49	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $104.71 / $190.55	Facility		$53.70	$104.71	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $218.78	Professional		$79.43	$125.89	$218.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $501.19 / $602.56	Facility		$380.19	$501.19	$602.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $234.42	Professional		$95.50	$144.54	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,071.52 / $6,165.95	Facility		$389.05	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $208.93	Professional		$72.44	$123.03	$208.93