Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.90 / $482.90 / $1,074.09	Facility		$482.90	$482.90	$1,074.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $174.79 / $185.07	Professional		$148.05	$174.79	$185.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.25 / $617.92 / $717.44	Facility		$401.25	$617.92	$717.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.29 / $246.85 / $354.66	Professional		$120.29	$246.85	$354.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $601.86 / $649.36	Professional		$246.92	$601.86	$649.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $246.92 / $403.99	Facility		$102.67	$246.92	$403.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $222.77 / $271.61 / $335.81	Professional		$222.77	$271.61	$335.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.45 / $276.55 / $432.11	Facility		$232.45	$276.55	$432.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $232.45 / $499.66	Facility		$102.67	$232.45	$499.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.71 / $213.08 / $271.19	Professional		$193.71	$213.08	$271.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $387.42 / $589.46 / $864.22	Facility		$387.42	$589.46	$864.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $221.01 / $294.68 / $608.80	Professional		$221.01	$294.68	$608.80
United Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $86.36 / $232.45	Professional		$81.36	$86.36	$232.45