Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.75 / $404.55 / $781.20	Facility		$348.75	$404.55	$781.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $262.26 / $825.00	Professional		$139.50	$262.26	$825.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.38 / $453.38 / $810.63	Facility		$453.38	$453.38	$810.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.06 / $320.76 / $547.37	Professional		$294.06	$320.76	$547.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $612.91 / $734.47	Professional		$279.00	$612.91	$734.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.46 / $270.63 / $581.85	Facility		$206.46	$270.63	$581.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $279.00 / $376.65	Professional		$279.00	$279.00	$376.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $292.95 / $615.89	Facility		$279.00	$292.95	$615.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.63 / $352.94 / $613.79	Facility		$270.63	$352.94	$613.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.10 / $306.89 / $401.76	Professional		$251.10	$306.89	$401.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $544.04 / $823.58 / $1,095.33	Facility		$544.04	$823.58	$1,095.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $492.57 / $548.48 / $877.15	Professional		$492.57	$548.48	$877.15
United Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $117.18 / $279.00	Professional		$58.86	$117.18	$279.00