Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $354.81 / $588.84	Facility		$234.42	$354.81	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $524.81	Professional		$125.89	$194.98	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $645.65 / $831.76	Facility		$128.82	$645.65	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $288.40 / $446.68	Professional		$131.83	$288.40	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $416.87	Professional		$275.42	$331.13	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $208.93 / $363.08	Facility		$114.82	$208.93	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $457.09	Professional		$165.96	$295.12	$457.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $302.00 / $323.59	Facility		$208.93	$302.00	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $208.93 / $389.05	Facility		$114.82	$208.93	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $446.68	Professional		$229.09	$316.23	$446.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $977.24	Facility		$660.69	$776.25	$977.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $426.58	Professional		$257.04	$331.13	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $1,174.90	Facility		$724.44	$891.25	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $416.87	Professional		$128.82	$165.96	$416.87