Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,096.48 / $1,122.02	Facility		$239.88	$1,096.48	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $316.23	Professional		$162.18	$194.98	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $724.44	Facility		$407.38	$407.38	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $537.03 / $660.69	Professional		$251.19	$537.03	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $346.74	Professional		$208.93	$275.42	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $275.42 / $436.52	Facility		$223.87	$275.42	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $346.74 / $660.69	Facility		$186.21	$346.74	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $275.42 / $346.74	Professional		$79.43	$275.42	$346.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $741.31 / $977.24	Facility		$436.52	$741.31	$977.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $295.12	Professional		$199.53	$208.93	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $398.11	Facility		$295.12	$295.12	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $295.12	Professional		$104.71	$104.71	$295.12