Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,096.48 / $1,122.02	Facility		$239.88	$1,096.48	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $295.12	Professional		$162.18	$186.21	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $724.44	Facility		$398.11	$398.11	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $354.81	Professional		$199.53	$245.47	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $537.03 / $630.96	Professional		$245.47	$537.03	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $269.15 / $354.81	Professional		$245.47	$269.15	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $269.15 / $389.05	Facility		$223.87	$269.15	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $724.44	Facility		$239.88	$346.74	$724.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $245.47 / $309.03	Professional		$79.43	$245.47	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $741.31 / $977.24	Facility		$436.52	$741.31	$977.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $295.12	Professional		$186.21	$223.87	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $398.11	Facility		$295.12	$295.12	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $295.12	Professional		$104.71	$104.71	$295.12