Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.41 / $573.47 / $7,920.26	Facility		$221.41	$573.47	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $197.81 / $527.13	Professional		$92.84	$197.81	$527.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.74 / $160.74 / $160.74	Facility		$160.74	$160.74	$160.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $268.39 / $591.33	Professional		$150.00	$268.39	$591.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $260.27 / $574.39	Professional		$204.44	$260.27	$574.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.40 / $240.70 / $482.33	Facility		$117.40	$240.70	$482.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.12 / $318.24 / $576.67	Professional		$168.12	$318.24	$576.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.29 / $392.62 / $459.62	Facility		$192.29	$392.62	$459.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.40 / $246.50 / $544.69	Facility		$117.40	$246.50	$544.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.60 / $304.58 / $579.48	Professional		$185.60	$304.58	$579.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $376.77 / $720.13 / $896.48	Facility		$376.77	$720.13	$896.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.58 / $309.45 / $588.83	Professional		$179.58	$309.45	$588.83
United Facility/Professional Professional Modifier Low / Median / High Price $221.59 / $405.24 / $634.63	Professional		$221.59	$405.24	$634.63