Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.34 / $371.34 / $864.52	Facility		$371.34	$371.34	$864.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $140.69 / $140.69	Professional		$119.17	$140.69	$140.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $577.42	Facility		$322.95	$322.95	$577.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $96.83 / $96.83	Professional		$96.83	$96.83	$96.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $436.08 / $522.54	Professional		$198.74	$436.08	$522.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.72 / $144.49 / $401.72	Facility		$111.72	$144.49	$401.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.96 / $198.74 / $268.30	Professional		$148.96	$198.74	$268.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $178.87 / $222.59 / $347.80	Facility		$178.87	$222.59	$347.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.49 / $206.62 / $433.25	Facility		$144.49	$206.62	$433.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.86 / $178.75 / $231.73	Professional		$163.86	$178.75	$231.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $297.92 / $453.29 / $695.59	Facility		$297.92	$453.29	$695.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $238.26 / $292.61 / $489.84	Professional		$238.26	$292.61	$489.84
United Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $69.52 / $178.75	Professional		$62.56	$69.52	$178.75