Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.35 / $431.35 / $752.68	Facility		$431.35	$431.35	$752.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $167.84 / $167.84	Professional		$124.58	$167.84	$167.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.18 / $433.01 / $502.74	Facility		$281.18	$433.01	$502.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $199.07 / $267.23	Professional		$172.98	$199.07	$267.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $422.01 / $455.33	Professional		$173.03	$422.01	$455.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $173.03 / $360.86	Facility		$89.98	$173.03	$360.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $233.59	Professional		$173.03	$173.03	$233.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $181.68 / $242.24	Facility		$173.03	$181.68	$242.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $173.03 / $455.50	Facility		$89.98	$173.03	$455.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.38 / $190.33 / $242.24	Professional		$164.38	$190.33	$242.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $466.13 / $560.27 / $679.26	Facility		$466.13	$560.27	$679.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $206.63 / $426.66	Professional		$154.97	$206.63	$426.66
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $72.67 / $207.64	Professional		$72.67	$72.67	$207.64