Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $645.65 / $6,606.93	Facility		$229.09	$645.65	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $245.47 / $524.81	Professional		$109.65	$245.47	$524.81
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 $144.54 / $309.03 / $724.44	Professional		$144.54	$309.03	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $676.08	Professional		$194.98	$281.84	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $309.03 / $660.69	Facility		$128.82	$309.03	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $630.96	Professional		$173.78	$346.74	$630.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $501.19 / $562.34	Facility		$354.81	$501.19	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $275.42 / $645.65	Facility		$117.49	$275.42	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $281.84 / $660.69	Professional		$79.43	$281.84	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $912.01 / $1,148.15	Facility		$724.44	$912.01	$1,148.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $724.44	Professional		$223.87	$363.08	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,548.82 / $6,165.95	Facility		$389.05	$1,548.82	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $707.95	Professional		$165.96	$323.59	$707.95