Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.52 / $243.44 / $269.41	Facility		$238.52	$243.44	$269.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $159.77 / $669.91	Professional		$72.66	$159.77	$669.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.26 / $1,498.71 / $2,135.94	Facility		$82.26	$1,498.71	$2,135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.24 / $236.93 / $357.41	Professional		$122.24	$236.93	$357.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.66 / $252.53 / $291.82	Professional		$212.66	$252.53	$291.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $196.54 / $367.46	Facility		$88.70	$196.54	$367.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $216.72 / $342.69	Professional		$172.39	$216.72	$342.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.58 / $216.41 / $278.05	Facility		$177.58	$216.41	$278.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.59 / $262.72 / $371.45	Facility		$110.59	$262.72	$371.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.18 / $256.95 / $325.22	Professional		$189.18	$256.95	$325.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,689.74 / $1,990.85 / $2,604.89	Facility		$1,689.74	$1,990.85	$2,604.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.51 / $250.81 / $320.31	Professional		$194.51	$250.81	$320.31
United Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $147.33 / $344.69	Professional		$120.54	$147.33	$344.69