Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.66 / $186.71 / $266.22	Facility		$152.66	$186.71	$266.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $109.62 / $286.77	Professional		$69.30	$109.62	$286.77
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 $109.59 / $180.95 / $287.69	Professional		$109.59	$180.95	$287.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.58 / $196.67 / $264.08	Professional		$157.58	$196.67	$264.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.60 / $157.41 / $229.13	Facility		$105.60	$157.41	$229.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $169.20 / $250.84	Professional		$123.82	$169.20	$250.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.07 / $178.75 / $217.75	Facility		$114.07	$178.75	$217.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.05 / $157.41 / $251.34	Facility		$103.05	$157.41	$251.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.37 / $197.87 / $276.94	Professional		$141.37	$197.87	$276.94
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 $144.33 / $207.82 / $293.45	Professional		$144.33	$207.82	$293.45
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $205.01 / $329.98	Professional		$143.36	$205.01	$329.98