Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.01 / $516.46 / $7,920.26	Facility		$306.01	$516.46	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $230.67 / $553.23	Professional		$110.46	$230.67	$553.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.44 / $1,937.44 / $1,937.44	Facility		$1,937.44	$1,937.44	$1,937.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.01 / $235.01 / $396.21	Professional		$144.01	$235.01	$396.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.88 / $240.88 / $361.75	Professional		$176.88	$240.88	$361.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.43 / $231.20 / $368.15	Facility		$136.43	$231.20	$368.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.76 / $238.05 / $389.53	Professional		$157.76	$238.05	$389.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $164.82 / $270.14 / $301.50	Facility		$164.82	$270.14	$301.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.12 / $236.54 / $384.43	Facility		$133.12	$236.54	$384.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $262.39 / $389.93	Professional		$177.80	$262.39	$389.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $178.16 / $263.25 / $400.67	Professional		$178.16	$263.25	$400.67
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 $205.00 / $287.01 / $464.11	Professional		$205.00	$287.01	$464.11