Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $467.74 / $5,011.87	Facility		$263.03	$467.74	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $758.58	Professional		$131.83	$208.93	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $1,949.84	Facility		$213.80	$213.80	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $478.63	Professional		$165.96	$302.00	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $467.74	Professional		$239.88	$331.13	$467.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $234.42 / $446.68	Facility		$144.54	$234.42	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $457.09	Professional		$213.80	$316.23	$457.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $389.05	Facility		$257.04	$363.08	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $229.09 / $398.11	Facility		$141.25	$229.09	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $346.74 / $489.78	Professional		$79.43	$346.74	$489.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $912.01	Facility		$549.54	$776.25	$912.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $489.78	Professional		$257.04	$354.81	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,071.52 / $5,128.61	Facility		$186.21	$1,071.52	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $489.78	Professional		$190.55	$309.03	$489.78