Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.29 / $353.69 / $594.03	Facility		$345.29	$353.69	$594.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $161.31 / $503.98	Professional		$113.09	$161.31	$503.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.97 / $636.79 / $835.09	Facility		$129.97	$636.79	$835.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $322.10 / $462.19	Professional		$151.21	$322.10	$462.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.31 / $344.16 / $419.35	Professional		$295.31	$344.16	$419.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.28 / $250.36 / $402.55	Facility		$131.28	$250.36	$402.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $258.72 / $478.83	Professional		$184.14	$258.72	$478.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.34 / $304.41 / $324.36	Facility		$192.34	$304.41	$324.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $178.16 / $178.16 / $178.16	Professional		$178.16	$178.16	$178.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.84 / $363.76 / $499.17	Facility		$151.84	$363.76	$499.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.59 / $342.25 / $458.53	Professional		$247.59	$342.25	$458.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $656.85 / $782.93 / $962.78	Facility		$656.85	$782.93	$962.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.89 / $376.85 / $446.27	Professional		$281.89	$376.85	$446.27
United Facility/Professional Professional Modifier Low / Median / High Price $165.29 / $167.24 / $473.39	Professional		$165.29	$167.24	$473.39