Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.64 / $735.64 / $735.64	Facility		$735.64	$735.64	$735.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $189.11 / $189.11	Professional		$88.50	$189.11	$189.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.34 / $336.34 / $336.34	Facility		$336.34	$336.34	$336.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.23 / $294.58 / $405.32	Professional		$229.23	$294.58	$405.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.07 / $289.22 / $339.59	Professional		$253.07	$289.22	$339.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.11 / $270.43 / $406.59	Facility		$189.11	$270.43	$406.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $232.56 / $298.82	Professional		$116.55	$232.56	$298.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $188.94 / $242.22 / $261.97	Facility		$188.94	$242.22	$261.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.11 / $294.92 / $406.59	Facility		$189.11	$294.92	$406.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.56 / $291.83 / $376.60	Professional		$210.56	$291.83	$376.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $340.81 / $418.22 / $506.96	Facility		$340.81	$418.22	$506.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $243.18 / $310.97 / $365.74	Professional		$243.18	$310.97	$365.74
United Facility/Professional Facility Modifier Low / Median / High Price $181.49 / $181.49 / $181.49	Facility		$181.49	$181.49	$181.49
United Facility/Professional Professional Modifier Low / Median / High Price $169.34 / $179.55 / $410.65	Professional		$169.34	$179.55	$410.65