Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $316.23 / $7,943.28	Facility		$257.04	$316.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $338.84	Professional		$120.23	$144.54	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $338.84	Professional		$141.25	$234.42	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $295.12	Professional		$177.83	$234.42	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $165.96 / $316.23	Facility		$125.89	$165.96	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $331.13	Professional		$190.55	$234.42	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $245.47 / $257.04	Facility		$199.53	$245.47	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $186.21 / $302.00	Facility		$117.49	$186.21	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $257.04 / $354.81	Professional		$79.43	$257.04	$354.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $346.74	Professional		$234.42	$275.42	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,071.52 / $6,165.95	Facility		$151.36	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $363.08	Professional		$165.96	$257.04	$363.08