Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $309.03	Professional		$169.82	$218.78	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $501.19	Facility		$204.17	$204.17	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $933.25 / $933.25	Professional		$316.23	$933.25	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $537.03	Professional		$398.11	$436.52	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $275.42 / $512.86	Facility		$177.83	$275.42	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $371.54	Professional		$173.78	$223.87	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $398.11	Facility		$125.89	$204.17	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $309.03 / $501.19	Facility		$194.98	$309.03	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $933.25	Professional		$316.23	$407.38	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $616.60 / $776.25	Facility		$489.78	$616.60	$776.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $537.03	Professional		$323.59	$426.58	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $660.69 / $870.96	Facility		$537.03	$660.69	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $512.86	Professional		$154.88	$213.80	$512.86