Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $6,606.93	Facility		$204.17	$323.59	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $316.23	Professional		$93.33	$138.04	$316.23
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 $123.03 / $186.21 / $323.59	Professional		$123.03	$186.21	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $316.23	Professional		$141.25	$208.93	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $302.00	Facility		$112.20	$181.97	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $302.00	Professional		$128.82	$199.53	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $239.88 / $257.04	Facility		$177.83	$239.88	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $288.40	Facility		$104.71	$173.78	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $208.93 / $302.00	Professional		$79.43	$208.93	$302.00
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 $194.98 / $251.19 / $331.13	Professional		$194.98	$251.19	$331.13
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 $134.90 / $213.80 / $323.59	Professional		$134.90	$213.80	$323.59