Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $602.56 / $2,884.03	Facility		$346.74	$602.56	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $371.54 / $602.56	Professional		$93.33	$371.54	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $239.88	Facility		$70.79	$70.79	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $323.59	Professional		$87.10	$117.49	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $257.04	Professional		$190.55	$208.93	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $263.03 / $707.95	Facility		$97.72	$263.03	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $371.54 / $741.31	Professional		$95.50	$371.54	$741.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $186.21 / $194.98	Facility		$131.83	$186.21	$194.98
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $204.17 / $630.96	Facility		$104.71	$204.17	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $281.84	Professional		$77.62	$100.00	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $363.08	Facility		$204.17	$281.84	$363.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $245.47	Professional		$158.49	$190.55	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $323.59 / $426.58	Facility		$263.03	$323.59	$426.58