Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.80 / $435.80 / $760.42	Facility		$435.80	$435.80	$760.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $148.59 / $169.57	Professional		$125.86	$148.59	$169.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $284.08 / $507.93	Facility		$284.08	$284.08	$507.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.85 / $139.85 / $139.85	Professional		$139.85	$139.85	$139.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $383.53 / $459.58	Professional		$174.81	$383.53	$459.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.11 / $169.57 / $384.58	Facility		$131.11	$169.57	$384.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $192.29 / $244.73	Professional		$174.81	$192.29	$244.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $195.79 / $305.92	Facility		$174.81	$195.79	$305.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.57 / $231.62 / $424.13	Facility		$169.57	$231.62	$424.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $192.29 / $244.73	Professional		$192.29	$192.29	$244.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $531.95 / $686.29	Facility		$349.62	$531.95	$686.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $279.41 / $343.65 / $549.95	Professional		$279.41	$343.65	$549.95
United Facility/Professional Facility Modifier Low / Median / High Price $209.77 / $209.77 / $209.77	Facility		$209.77	$209.77	$209.77
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $183.55	Professional		$73.42	$73.42	$183.55