Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.36 / $428.90 / $828.21	Facility		$183.36	$428.90	$828.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.97 / $251.42 / $576.79	Professional		$212.97	$251.42	$576.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.65 / $740.20 / $859.40	Facility		$480.65	$740.20	$859.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.75 / $314.52 / $530.47	Professional		$137.75	$314.52	$530.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $649.14 / $777.89	Professional		$295.79	$649.14	$777.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.84 / $310.58 / $650.74	Facility		$221.84	$310.58	$650.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $295.79 / $399.32	Professional		$295.79	$295.79	$399.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.79 / $301.70 / $559.92	Facility		$295.79	$301.70	$559.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.58 / $374.17 / $740.20	Facility		$310.58	$374.17	$740.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $340.16 / $425.94	Professional		$311.89	$340.16	$425.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $576.79 / $900.09 / $1,222.03	Facility		$576.79	$900.09	$1,222.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $522.49 / $581.83 / $930.44	Professional		$522.49	$581.83	$930.44
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $124.23 / $310.58	Professional		$124.23	$124.23	$310.58