Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $467.74 / $6,606.93	Facility		$251.19	$467.74	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $478.63	Professional		$125.89	$194.98	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $501.19	Professional		$154.88	$295.12	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $501.19	Professional		$223.87	$323.59	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $234.42 / $416.87	Facility		$134.90	$234.42	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $489.78	Professional		$204.17	$295.12	$489.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $416.87	Facility		$251.19	$389.05	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $223.87 / $398.11	Facility		$128.82	$223.87	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $323.59 / $524.81	Professional		$79.43	$323.59	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,584.89	Facility		$870.96	$1,258.93	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $346.74 / $524.81	Professional		$239.88	$346.74	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,659.59 / $5,128.61	Facility		$186.21	$1,659.59	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $501.19	Professional		$173.78	$302.00	$501.19