Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $239.88 / $288.40	Facility		$158.49	$239.88	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $302.00	Professional		$87.10	$123.03	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $1,659.59 / $2,137.96	Facility		$83.18	$1,659.59	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $229.09 / $398.11	Professional		$109.65	$229.09	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $295.12	Professional		$204.17	$234.42	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $173.78 / $316.23	Facility		$95.50	$173.78	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $338.84	Professional		$158.49	$223.87	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $218.78 / $275.42	Facility		$177.83	$218.78	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $173.78 / $338.84	Facility		$102.33	$173.78	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $346.74	Professional		$181.97	$245.47	$346.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,630.27	Facility		$1,659.59	$1,995.26	$2,630.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $316.23	Professional		$194.98	$245.47	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,090.30	Facility		$1,905.46	$2,344.23	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $346.74	Professional		$109.65	$147.91	$346.74