Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $707.95 / $724.44	Facility		$154.88	$707.95	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $199.53	Professional		$104.71	$120.23	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $467.74	Facility		$257.04	$257.04	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $181.97 / $229.09	Professional		$158.49	$181.97	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $407.38	Professional		$158.49	$346.74	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $177.83 / $218.78	Professional		$158.49	$177.83	$218.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $223.87	Facility		$158.49	$158.49	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $190.55 / $426.58	Facility		$83.18	$190.55	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $218.78	Professional		$79.43	$177.83	$218.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $478.63 / $630.96	Facility		$239.88	$478.63	$630.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $190.55	Professional		$120.23	$144.54	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $257.04	Facility		$190.55	$190.55	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $190.55	Professional		$67.61	$67.61	$190.55