Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $226.10 / $371.00	Professional		$171.00	$226.10	$371.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.74 / $223.70 / $304.05	Facility		$124.74	$223.70	$304.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.48 / $315.48 / $935.47	Professional		$315.48	$315.48	$935.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.21 / $469.52 / $543.14	Professional		$395.21	$469.52	$543.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.00 / $371.00 / $578.57	Facility		$201.00	$371.00	$578.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $102.08 / $395.21	Facility		$71.59	$102.08	$395.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.14 / $371.00 / $578.57	Facility		$173.14	$371.00	$578.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.35 / $350.00 / $453.44	Professional		$271.35	$350.00	$453.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $291.56 / $382.63 / $450.20	Facility		$291.56	$382.63	$450.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $324.36 / $443.50 / $567.54	Professional		$324.36	$443.50	$567.54
United Facility/Professional Professional Modifier Low / Median / High Price $94.44 / $146.38 / $335.11	Professional		$94.44	$146.38	$335.11