Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $426.58 / $1,230.27	Facility		$346.74	$426.58	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $501.19	Professional		$181.97	$234.42	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $794.33	Facility		$446.68	$446.68	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $295.12 / $489.78	Professional		$125.89	$295.12	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $588.84 / $724.44	Professional		$275.42	$588.84	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $331.13	Facility		$275.42	$275.42	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $389.05	Professional		$263.03	$302.00	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $416.87	Facility		$275.42	$275.42	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $380.19 / $794.33	Facility		$245.47	$380.19	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $398.11	Professional		$162.18	$302.00	$398.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $831.76 / $1,148.15	Facility		$416.87	$831.76	$1,148.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $331.13	Professional		$218.78	$234.42	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $436.52	Facility		$331.13	$331.13	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $331.13	Professional		$114.82	$114.82	$331.13