Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $489.78 / $13,182.57	Facility		$389.05	$489.78	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $512.86	Professional		$173.78	$213.80	$512.86
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 $190.55 / $346.74 / $537.03	Professional		$190.55	$346.74	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $446.68	Professional		$263.03	$354.81	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $295.12 / $478.63	Facility		$186.21	$295.12	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $501.19	Professional		$288.40	$346.74	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $354.81 / $389.05	Facility		$295.12	$354.81	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $295.12 / $436.52	Facility		$186.21	$295.12	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $371.54 / $512.86	Professional		$79.43	$371.54	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $537.03	Professional		$338.84	$398.11	$537.03
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 $245.47 / $371.54 / $537.03	Professional		$245.47	$371.54	$537.03