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 $204.66 / $223.70 / $498.20	Facility		$204.66	$223.70	$498.20
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 $117.30 / $171.83 / $395.21	Facility		$117.30	$171.83	$395.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.12 / $371.00 / $578.57	Facility		$177.12	$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 $491.95 / $645.62 / $737.66	Facility		$491.95	$645.62	$737.66
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 $155.02 / $213.71 / $521.52	Professional		$155.02	$213.71	$521.52