Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,445.44 / $1,445.44	Facility		$316.23	$1,445.44	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $389.05	Professional		$213.80	$269.15	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $933.25	Facility		$524.81	$524.81	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $467.74	Professional		$208.93	$323.59	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $691.83 / $831.76	Professional		$323.59	$691.83	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $467.74	Professional		$323.59	$354.81	$467.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $354.81 / $537.03	Facility		$288.40	$354.81	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $933.25	Facility		$316.23	$446.68	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $323.59 / $426.58	Professional		$79.43	$323.59	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $977.24 / $1,288.25	Facility		$562.34	$977.24	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $389.05	Professional		$239.88	$295.12	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $512.86	Facility		$389.05	$389.05	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $389.05	Professional		$134.90	$151.36	$389.05