Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.45 / $466.75 / $6,629.40	Facility		$268.45	$466.75	$6,629.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $205.93 / $784.23	Professional		$132.90	$205.93	$784.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.71 / $213.71 / $1,937.44	Facility		$213.71	$213.71	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.57 / $327.18 / $522.41	Professional		$185.57	$327.18	$522.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.47 / $362.39 / $471.67	Professional		$261.47	$362.39	$471.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.75 / $303.64 / $473.54	Facility		$183.75	$303.64	$473.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.50 / $308.48 / $467.40	Professional		$221.50	$308.48	$467.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.49 / $353.84 / $389.94	Facility		$219.49	$353.84	$389.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.20 / $311.89 / $500.27	Facility		$188.20	$311.89	$500.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $360.36 / $507.14	Professional		$253.00	$360.36	$507.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $744.03 / $967.39	Facility		$555.45	$744.03	$967.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $258.49 / $364.83 / $525.37	Professional		$258.49	$364.83	$525.37
United Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $1,078.00 / $5,183.00	Facility		$177.00	$1,078.00	$5,183.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.99 / $385.69 / $608.48	Professional		$274.99	$385.69	$608.48