Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $676.08	Facility		$186.21	$229.09	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $229.09	Professional		$102.33	$144.54	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $389.05 / $524.81	Facility		$239.88	$389.05	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $269.15	Professional		$85.11	$147.91	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $380.19	Professional		$147.91	$323.59	$380.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $186.21	Facility		$147.91	$147.91	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $245.47	Professional		$147.91	$186.21	$245.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $281.84	Facility		$147.91	$147.91	$281.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $213.80 / $436.52	Facility		$144.54	$213.80	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $269.15	Professional		$79.43	$162.18	$269.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $446.68 / $616.60	Facility		$223.87	$446.68	$616.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $190.55	Professional		$112.20	$147.91	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $239.88	Facility		$177.83	$177.83	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $208.93	Professional		$61.66	$85.11	$208.93