Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $831.76	Facility		$229.09	$288.40	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $338.84	Professional		$120.23	$154.88	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $537.03	Facility		$302.00	$302.00	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $199.53 / $331.13	Professional		$85.11	$199.53	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $398.11 / $489.78	Professional		$186.21	$398.11	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $223.87	Facility		$186.21	$186.21	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $257.04	Professional		$177.83	$204.17	$257.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $275.42	Facility		$186.21	$186.21	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $257.04 / $537.03	Facility		$165.96	$257.04	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $269.15	Professional		$107.15	$204.17	$269.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $758.58	Facility		$275.42	$549.54	$758.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $223.87	Professional		$147.91	$158.49	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $295.12	Facility		$223.87	$223.87	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $223.87	Professional		$77.62	$77.62	$223.87