Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.09 / $215.20 / $415.55	Facility		$178.09	$215.20	$415.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $143.96 / $805.33	Professional		$131.91	$143.96	$805.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.18 / $390.70 / $529.27	Facility		$241.18	$390.70	$529.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $170.57 / $266.12	Professional		$91.46	$170.57	$266.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $362.05 / $390.64	Professional		$148.41	$362.05	$390.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.53 / $160.59 / $337.00	Facility		$109.53	$160.59	$337.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $178.09 / $243.60	Professional		$148.41	$178.09	$243.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $189.00 / $327.62	Facility		$148.41	$189.00	$327.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $179.58 / $390.70	Facility		$148.41	$179.58	$390.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $178.09 / $242.96	Professional		$148.41	$178.09	$242.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.39 / $458.05 / $613.14	Facility		$289.39	$458.05	$613.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $189.18 / $365.94	Professional		$132.94	$189.18	$365.94
United Facility/Professional Facility Modifier Low / Median / High Price $222.62 / $222.62 / $237.46	Facility		$222.62	$222.62	$237.46
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $84.82 / $178.09	Professional		$62.33	$84.82	$178.09