Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.04 / $255.24 / $7,920.26	Facility		$223.04	$255.24	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $124.37 / $265.20	Professional		$89.37	$124.37	$265.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.27 / $181.40 / $302.12	Professional		$117.27	$181.40	$302.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.75 / $223.95 / $269.43	Professional		$163.75	$223.95	$269.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $188.37 / $326.94	Facility		$109.76	$188.37	$326.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $187.92 / $320.42	Professional		$161.19	$187.92	$320.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.90 / $212.73 / $229.81	Facility		$143.90	$212.73	$229.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.82 / $210.43 / $326.13	Facility		$119.82	$210.43	$326.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $216.08 / $291.06	Professional		$163.72	$216.08	$291.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $861.54 / $1,116.86 / $1,502.14	Facility		$861.54	$1,116.86	$1,502.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $182.67 / $220.12 / $303.50	Professional		$182.67	$220.12	$303.50
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $209.91 / $308.80	Professional		$138.88	$209.91	$308.80