Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $398.11 / $6,606.93	Facility		$218.78	$398.11	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $363.08	Professional		$104.71	$173.78	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $446.68	Professional		$134.90	$251.19	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $436.52	Professional		$186.21	$275.42	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $363.08	Facility		$114.82	$204.17	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $416.87	Professional		$173.78	$263.03	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $323.59 / $354.81	Facility		$229.09	$323.59	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $194.98 / $346.74	Facility		$109.65	$194.98	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $275.42 / $446.68	Professional		$79.43	$275.42	$446.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,041.74	Facility		$1,258.93	$1,659.59	$2,041.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $446.68	Professional		$208.93	$309.03	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,041.74 / $5,128.61	Facility		$186.21	$2,041.74	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $446.68	Professional		$154.88	$263.03	$446.68