Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.54 / $615.54 / $1,074.09	Facility		$615.54	$615.54	$1,074.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.78 / $239.51 / $239.51	Professional		$177.78	$239.51	$239.51
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 $197.54 / $246.85 / $354.66	Professional		$197.54	$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 $130.87 / $246.92 / $514.95	Facility		$130.87	$246.92	$514.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $246.92 / $335.81	Professional		$246.92	$246.92	$335.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $279.02 / $432.11	Facility		$246.92	$279.02	$432.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.35 / $283.95 / $538.29	Facility		$162.35	$283.95	$538.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.57 / $271.61 / $345.69	Professional		$234.57	$271.61	$345.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $481.49 / $751.38 / $969.38	Facility		$481.49	$751.38	$969.38
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 $103.71 / $103.71 / $296.30	Professional		$103.71	$103.71	$296.30