Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.02 / $235.86 / $371.00	Professional		$98.02	$235.86	$371.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.68 / $223.86 / $254.26	Facility		$92.68	$223.86	$254.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.60 / $358.60 / $1,064.88	Professional		$358.60	$358.60	$1,064.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $447.51 / $530.01 / $607.47	Professional		$447.51	$530.01	$607.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.30 / $371.00 / $583.34	Facility		$118.30	$371.00	$583.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.59 / $88.40 / $447.50	Facility		$58.59	$88.40	$447.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.79 / $371.00 / $583.34	Facility		$113.79	$371.00	$583.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $358.60 / $913.50	Professional		$154.47	$358.60	$913.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $209.96 / $332.87 / $748.04	Facility		$209.96	$332.87	$748.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $270.07 / $456.96 / $612.09	Professional		$270.07	$456.96	$612.09
United Facility/Professional Professional Modifier Low / Median / High Price $186.01 / $365.41 / $628.50	Professional		$186.01	$365.41	$628.50