Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $288.40 / $6,606.93	Facility		$95.50	$288.40	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $114.82 / $275.42	Professional		$46.77	$114.82	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $1,949.84	Facility		$165.96	$165.96	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $323.59	Professional		$66.07	$141.25	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $354.81	Professional		$85.11	$147.91	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $125.89 / $269.15	Facility		$47.86	$125.89	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $316.23	Professional		$81.28	$165.96	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $234.42 / $257.04	Facility		$154.88	$234.42	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $112.20 / $263.03	Facility		$45.71	$112.20	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $323.59	Professional		$79.43	$131.83	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,467.37	Facility		$2,137.96	$2,884.03	$3,467.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $323.59	Professional		$93.33	$190.55	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $4,897.79	Facility		$1,096.48	$2,818.38	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $309.03	Professional		$74.13	$138.04	$309.03