Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $489.78 / $6,606.93	Facility		$74.13	$489.78	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $199.53 / $630.96	Professional		$34.67	$199.53	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $1,949.84	Facility		$223.87	$223.87	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $223.87 / $575.44	Professional		$50.12	$223.87	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $177.83 / $630.96	Professional		$64.57	$177.83	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $229.09 / $512.86	Facility		$38.90	$229.09	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $229.09 / $588.84	Professional		$61.66	$229.09	$588.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $426.58 / $457.09	Facility		$288.40	$426.58	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $199.53 / $501.19	Facility		$37.15	$199.53	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $575.44	Professional		$69.18	$112.20	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $776.25 / $977.24	Facility		$602.56	$776.25	$977.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $323.59 / $575.44	Professional		$70.79	$323.59	$575.44
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 $57.54 / $208.93 / $562.34	Professional		$57.54	$208.93	$562.34