Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.04 / $413.29 / $798.08	Facility		$342.04	$413.29	$798.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $276.48 / $548.85	Professional		$121.00	$276.48	$548.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $713.29 / $828.16	Facility		$463.18	$713.29	$828.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $300.51 / $511.09	Professional		$62.16	$300.51	$511.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.02 / $694.93 / $749.79	Professional		$285.02	$694.93	$749.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.91 / $242.64 / $594.42	Facility		$98.91	$242.64	$594.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $285.02 / $342.04	Professional		$139.00	$285.02	$342.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.52 / $299.27 / $629.20	Facility		$256.52	$299.27	$629.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.59 / $342.04 / $621.37	Facility		$207.59	$342.04	$621.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $313.52 / $399.04	Professional		$130.80	$313.52	$399.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.80 / $841.38 / $1,119.00	Facility		$555.80	$841.38	$1,119.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.52 / $255.20 / $702.35	Professional		$103.52	$255.20	$702.35
United Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $119.71 / $342.04	Professional		$57.83	$119.71	$342.04