Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $616.60 / $6,606.93	Facility		$234.42	$616.60	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $245.47 / $478.63	Professional		$114.82	$245.47	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $302.00 / $691.83	Professional		$144.54	$302.00	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $616.60	Professional		$190.55	$275.42	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $281.84 / $588.84	Facility		$128.82	$281.84	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $575.44	Professional		$173.78	$371.54	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $457.09 / $537.03	Facility		$331.13	$457.09	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $275.42 / $588.84	Facility		$117.49	$275.42	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $281.84 / $630.96	Professional		$79.43	$281.84	$630.96
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 / $371.54 / $691.83	Professional		$223.87	$371.54	$691.83
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 / $309.03 / $660.69	Professional		$165.96	$309.03	$660.69