Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.88 / $268.39 / $294.95	Facility		$258.88	$268.39	$294.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $167.80 / $687.46	Professional		$78.81	$167.80	$687.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $696.50 / $696.50 / $696.50	Facility		$696.50	$696.50	$696.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.47 / $272.38 / $345.17	Professional		$189.47	$272.38	$345.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.26 / $273.37 / $310.54	Professional		$229.26	$273.37	$310.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.80 / $274.12 / $362.04	Facility		$167.80	$274.12	$362.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $226.00 / $358.86	Professional		$193.20	$226.00	$358.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.05 / $235.17 / $311.54	Facility		$193.05	$235.17	$311.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $52.54 / $52.54	Professional		$52.54	$52.54	$52.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.95 / $304.08 / $418.37	Facility		$239.95	$304.08	$418.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.63 / $284.89 / $345.00	Professional		$210.63	$284.89	$345.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $669.14 / $808.63 / $1,041.28	Facility		$669.14	$808.63	$1,041.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $222.39 / $280.73 / $334.47	Professional		$222.39	$280.73	$334.47
United Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $159.60 / $159.60	Facility		$159.60	$159.60	$159.60
United Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $154.59 / $390.58	Professional		$106.75	$154.59	$390.58