Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $7,943.28	Facility		$229.09	$288.40	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $281.84	Professional		$107.15	$128.82	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $316.23	Professional		$117.49	$204.17	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $269.15	Professional		$154.88	$208.93	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $295.12	Facility		$109.65	$181.97	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $302.00	Professional		$169.82	$213.80	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $229.09	Facility		$173.78	$218.78	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $181.97 / $281.84	Facility		$114.82	$181.97	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $309.03	Professional		$79.43	$218.78	$309.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $338.84	Professional		$208.93	$234.42	$338.84
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 $147.91 / $229.09 / $316.23	Professional		$147.91	$229.09	$316.23