Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $436.52 / $562.34	Facility		$213.80	$436.52	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $588.84	Professional		$93.33	$154.88	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $239.88 / $302.00	Facility		$112.20	$239.88	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $398.11	Professional		$120.23	$263.03	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $346.74	Professional		$223.87	$281.84	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $169.82 / $363.08	Facility		$102.33	$169.82	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $371.54	Professional		$141.25	$251.19	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $263.03 / $281.84	Facility		$204.17	$263.03	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $169.82 / $316.23	Facility		$109.65	$169.82	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $389.05	Professional		$218.78	$281.84	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $363.08	Facility		$204.17	$281.84	$363.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $380.19	Professional		$245.47	$295.12	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $323.59 / $426.58	Facility		$263.03	$323.59	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $380.19	Professional		$134.90	$154.88	$380.19