Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.47 / $150.02 / $247.40	Facility		$98.47	$150.02	$247.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $91.63 / $247.40	Professional		$58.15	$91.63	$247.40
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 $100.79 / $166.61 / $267.80	Professional		$100.79	$166.61	$267.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.68 / $175.61 / $245.60	Professional		$140.68	$175.61	$245.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.08 / $142.41 / $214.15	Facility		$95.08	$142.41	$214.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.83 / $158.60 / $229.30	Professional		$113.83	$158.60	$229.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.66 / $179.49 / $202.34	Facility		$112.66	$179.49	$202.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.08 / $142.41 / $243.10	Facility		$95.08	$142.41	$243.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $181.89 / $257.22	Professional		$128.52	$181.89	$257.22
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 $126.08 / $189.24 / $270.44	Professional		$126.08	$189.24	$270.44
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 $135.36 / $197.40 / $304.10	Professional		$135.36	$197.40	$304.10