Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $6,606.93	Facility		$181.97	$302.00	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $257.04	Professional		$95.50	$131.83	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $295.12	Professional		$117.49	$177.83	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $288.40	Professional		$128.82	$199.53	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $302.00	Facility		$97.72	$173.78	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $288.40	Professional		$125.89	$204.17	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $229.09 / $239.88	Facility		$173.78	$229.09	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $173.78 / $302.00	Facility		$93.33	$173.78	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $281.84	Professional		$79.43	$194.98	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $8,912.51	Facility		$5,754.40	$7,413.10	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $309.03	Professional		$169.82	$229.09	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,365.16 / $10,000.00	Facility		$389.05	$4,365.16	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $302.00	Professional		$138.04	$199.53	$302.00