Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $186.21 / $6,606.93	Facility		$114.82	$186.21	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $169.82	Professional		$57.54	$79.43	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $1,949.84	Facility		$75.86	$75.86	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $213.80	Professional		$70.79	$128.82	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $181.97	Professional		$102.33	$134.90	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $97.72 / $177.83	Facility		$61.66	$97.72	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $181.97	Professional		$93.33	$134.90	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $162.18	Facility		$109.65	$147.91	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $95.50 / $169.82	Facility		$57.54	$95.50	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $144.54 / $190.55	Professional		$79.43	$144.54	$190.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $5,754.40	Facility		$3,548.13	$4,786.30	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $194.98	Professional		$109.65	$144.54	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,128.61 / $7,413.10	Facility		$1,548.82	$5,128.61	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $199.53	Professional		$81.28	$131.83	$199.53