Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.93 / $199.61 / $306.74	Facility		$162.93	$199.61	$306.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $121.22 / $325.80	Professional		$75.79	$121.22	$325.80
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 $120.15 / $206.81 / $332.54	Professional		$120.15	$206.81	$332.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.84 / $210.76 / $306.83	Professional		$168.84	$210.76	$306.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.78 / $176.18 / $263.89	Facility		$113.78	$176.18	$263.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $193.20 / $290.37	Professional		$136.91	$193.20	$290.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.22 / $216.92 / $250.58	Facility		$140.22	$216.92	$250.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.78 / $176.18 / $292.16	Facility		$113.78	$176.18	$292.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $221.34 / $318.64	Professional		$153.78	$221.34	$318.64
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 $153.53 / $231.12 / $333.90	Professional		$153.53	$231.12	$333.90
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 $167.04 / $240.12 / $375.28	Professional		$167.04	$240.12	$375.28