Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.78 / $988.00 / $7,920.26	Facility		$176.78	$988.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $143.94 / $308.81	Professional		$79.94	$143.94	$308.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $215.48 / $381.03	Professional		$123.84	$215.48	$381.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $201.68 / $320.29	Professional		$161.46	$201.68	$320.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.98 / $202.00 / $365.50	Facility		$108.98	$202.00	$365.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $217.21 / $319.43	Professional		$132.46	$217.21	$319.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.36 / $252.51 / $296.81	Facility		$152.36	$252.51	$296.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.98 / $202.00 / $365.50	Facility		$108.98	$202.00	$365.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.32 / $244.55 / $367.22	Professional		$152.32	$244.55	$367.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,761.77 / $2,582.33 / $3,412.14	Facility		$1,761.77	$2,582.33	$3,412.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $253.66 / $400.10	Professional		$154.08	$253.66	$400.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.50 / $311.27 / $437.24	Professional		$213.50	$311.27	$437.24