Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $331.13 / $6,606.93	Facility		$177.83	$331.13	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $288.40	Professional		$77.62	$144.54	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $354.81	Professional		$102.33	$190.55	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $354.81	Professional		$141.25	$199.53	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $165.96 / $436.52	Facility		$79.43	$165.96	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $346.74	Professional		$128.82	$218.78	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $257.04 / $295.12	Facility		$194.98	$257.04	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $162.18 / $309.03	Facility		$89.13	$162.18	$309.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $213.80 / $354.81	Professional		$102.33	$213.80	$354.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $3,548.13	Facility		$1,778.28	$2,570.40	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $338.84	Professional		$151.36	$245.47	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,311.31 / $7,413.10	Facility		$1,096.48	$3,311.31	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $208.93 / $354.81	Professional		$125.89	$208.93	$354.81