Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $851.14 / $954.99	Facility		$190.55	$851.14	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $223.87	Professional		$109.65	$158.49	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $407.38	Professional		$181.97	$275.42	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $338.84	Professional		$91.20	$190.55	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $257.04 / $407.38	Facility		$85.11	$257.04	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $281.84	Professional		$134.90	$204.17	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $239.88 / $263.03	Facility		$204.17	$239.88	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $213.80 / $380.19	Facility		$81.28	$213.80	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $363.08	Professional		$79.43	$213.80	$363.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $512.86	Facility		$323.59	$416.87	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $354.81	Professional		$245.47	$275.42	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $501.19	Facility		$309.03	$380.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $407.38	Professional		$151.36	$177.83	$407.38