Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $112.20 / $239.88	Facility		$85.11	$112.20	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $83.18 / $154.88	Professional		$40.74	$83.18	$154.88
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 $57.54 / $112.20 / $218.78	Professional		$57.54	$112.20	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $245.47	Professional		$72.44	$112.20	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $91.20 / $181.97	Facility		$44.67	$91.20	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $218.78	Professional		$69.18	$138.04	$218.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $162.18 / $177.83	Facility		$112.20	$162.18	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $91.20 / $181.97	Facility		$44.67	$91.20	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $213.80	Professional		$72.44	$109.65	$213.80
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 $83.18 / $131.83 / $223.87	Professional		$83.18	$131.83	$223.87
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 $64.57 / $112.20 / $204.17	Professional		$64.57	$112.20	$204.17