Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $467.74 / $524.81	Facility		$275.42	$467.74	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $660.69	Professional		$194.98	$275.42	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102,329.30 / $102,329.30 / $102,329.30	Facility		$102,329.30	$102,329.30	$102,329.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $645.65	Professional		$269.15	$446.68	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $537.03	Professional		$309.03	$398.11	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $524.81	Facility		$204.17	$281.84	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $588.84	Professional		$309.03	$398.11	$588.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $407.38 / $446.68	Facility		$331.13	$407.38	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $524.81	Facility		$208.93	$295.12	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $602.56	Professional		$79.43	$416.87	$602.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $602.56	Professional		$398.11	$467.74	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $7,413.10	Facility		$1,698.24	$5,495.41	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $602.56	Professional		$275.42	$436.52	$602.56