Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $295.12 / $870.96	Facility		$181.97	$295.12	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $354.81	Professional		$125.89	$162.18	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $562.34	Facility		$316.23	$501.19	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $346.74	Professional		$89.13	$208.93	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $416.87 / $512.86	Professional		$194.98	$416.87	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $269.15	Professional		$186.21	$194.98	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $288.40	Facility		$194.98	$194.98	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $269.15 / $562.34	Facility		$173.78	$269.15	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $275.42	Professional		$107.15	$213.80	$275.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $575.44 / $794.33	Facility		$288.40	$575.44	$794.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $234.42	Professional		$154.88	$165.96	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $309.03	Facility		$234.42	$234.42	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $234.42	Professional		$81.28	$81.28	$234.42