Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $316.23 / $8,709.64	Facility		$147.91	$316.23	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $295.12	Professional		$67.61	$141.25	$295.12
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 $81.28 / $165.96 / $346.74	Professional		$81.28	$165.96	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $363.08	Professional		$107.15	$158.49	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $158.49 / $346.74	Facility		$74.13	$158.49	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $338.84	Professional		$100.00	$173.78	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $275.42	Facility		$190.55	$245.47	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $141.25 / $302.00	Facility		$70.79	$141.25	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $346.74	Professional		$79.43	$177.83	$346.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $346.74	Professional		$131.83	$213.80	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,073.80 / $6,165.95	Facility		$389.05	$4,073.80	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $331.13	Professional		$104.71	$186.21	$331.13