Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $512.86 / $8,317.64	Facility		$302.00	$512.86	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $338.84	Professional		$281.84	$281.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $398.11 / $758.58	Facility		$263.03	$398.11	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $602.56 / $724.44	Professional		$281.84	$602.56	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $309.03 / $602.56	Facility		$162.18	$309.03	$602.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $363.08	Professional		$162.18	$295.12	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $281.84 / $524.81	Facility		$269.15	$281.84	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $831.76	Facility		$281.84	$398.11	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $302.00 / $389.05	Professional		$79.43	$302.00	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $457.09 / $954.99	Facility		$295.12	$457.09	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $676.08	Facility		$281.84	$281.84	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $831.76	Professional		$316.23	$338.84	$831.76