Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.60 / $410.18 / $792.06	Facility		$353.60	$410.18	$792.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.67 / $240.45 / $551.62	Professional		$203.67	$240.45	$551.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.68 / $459.68 / $821.90	Facility		$459.68	$459.68	$821.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $300.81 / $507.56	Professional		$131.69	$300.81	$507.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $621.44 / $744.68	Professional		$282.88	$621.44	$744.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $297.02 / $622.34	Facility		$212.16	$297.02	$622.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $381.89	Professional		$282.88	$282.88	$381.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $535.49	Facility		$282.88	$282.88	$535.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $357.84 / $686.41	Facility		$297.02	$357.84	$686.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $297.86 / $325.14 / $407.35	Professional		$297.86	$325.14	$407.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $551.62 / $860.80 / $1,168.69	Facility		$551.62	$860.80	$1,168.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $499.75 / $555.97 / $889.94	Professional		$499.75	$555.97	$889.94
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $339.46	Professional		$118.81	$118.81	$339.46