Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $316.23 / $933.25	Facility		$257.04	$316.23	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $380.19	Professional		$134.90	$173.78	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $602.56	Facility		$338.84	$338.84	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $223.87 / $371.54	Professional		$97.72	$223.87	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $446.68 / $549.54	Professional		$208.93	$446.68	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $288.40	Professional		$199.53	$229.09	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $218.78 / $309.03	Facility		$208.93	$218.78	$309.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $288.40 / $602.56	Facility		$154.88	$288.40	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $309.03	Professional		$154.88	$229.09	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $616.60 / $851.14	Facility		$309.03	$616.60	$851.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $251.19	Professional		$165.96	$177.83	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $331.13	Facility		$251.19	$251.19	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $251.19	Professional		$87.10	$87.10	$251.19