Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $988.00 / $7,920.26	Facility		$193.76	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $187.96 / $453.82	Professional		$76.28	$187.96	$453.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.65 / $234.99 / $495.45	Professional		$125.65	$234.99	$495.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.11 / $233.47 / $451.32	Professional		$186.11	$233.47	$451.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.58 / $244.81 / $458.87	Facility		$114.58	$244.81	$458.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $298.12 / $427.21	Professional		$140.94	$298.12	$427.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.81 / $336.66 / $384.58	Facility		$162.81	$336.66	$384.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.58 / $244.81 / $499.80	Facility		$114.58	$244.81	$499.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.06 / $273.83 / $469.44	Professional		$163.06	$273.83	$469.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,722.06 / $2,201.77 / $2,738.85	Facility		$1,722.06	$2,201.77	$2,738.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.87 / $288.48 / $506.91	Professional		$168.87	$288.48	$506.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,983.00 / $4,911.00	Facility		$1,106.00	$2,983.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.05 / $386.28 / $554.27	Professional		$265.05	$386.28	$554.27