Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.77 / $467.39 / $511.50	Facility		$466.77	$467.39	$511.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.81 / $475.00 / $603.00	Professional		$208.81	$475.00	$603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.46 / $228.17 / $375.08	Facility		$134.46	$228.17	$375.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.24 / $409.53 / $601.83	Professional		$214.24	$409.53	$601.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.87 / $455.59 / $542.59	Professional		$398.87	$455.59	$542.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.08 / $431.50 / $826.11	Facility		$215.08	$431.50	$826.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $322.91 / $405.00 / $632.34	Professional		$322.91	$405.00	$632.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $318.80 / $398.88 / $442.68	Facility		$318.80	$398.88	$442.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.75 / $533.74 / $756.25	Facility		$254.75	$533.74	$756.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.95 / $458.38 / $609.55	Professional		$310.95	$458.38	$609.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $372.27 / $460.53 / $589.35	Professional		$372.27	$460.53	$589.35
United Facility/Professional Professional Modifier Low / Median / High Price $198.17 / $245.24 / $661.51	Professional		$198.17	$245.24	$661.51