Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.81 / $2,747.00 / $7,920.26	Facility		$233.81	$2,747.00	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $218.41 / $616.28	Professional		$100.90	$218.41	$616.28
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 $138.88 / $292.45 / $689.36	Professional		$138.88	$292.45	$689.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.76 / $270.76 / $611.91	Professional		$212.76	$270.76	$611.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.29 / $280.54 / $592.62	Facility		$146.29	$280.54	$592.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.07 / $363.92 / $575.20	Professional		$183.07	$363.92	$575.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.10 / $447.20 / $541.36	Facility		$221.10	$447.20	$541.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.51 / $372.19 / $701.93	Facility		$153.51	$372.19	$701.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.80 / $339.15 / $633.17	Professional		$210.80	$339.15	$633.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $722.10 / $904.54 / $1,153.73	Facility		$722.10	$904.54	$1,153.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $214.64 / $368.20 / $705.82	Professional		$214.64	$368.20	$705.82
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 $312.17 / $471.04 / $706.35	Professional		$312.17	$471.04	$706.35