Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.50 / $268.54 / $518.55	Facility		$231.50	$268.54	$518.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $157.41 / $361.14	Professional		$133.34	$157.41	$361.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.95 / $300.95 / $538.10	Facility		$300.95	$300.95	$538.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $196.96 / $332.50	Professional		$86.23	$196.96	$332.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $406.95 / $487.68	Professional		$185.20	$406.95	$487.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $194.46 / $407.44	Facility		$138.90	$194.46	$407.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $250.02	Professional		$185.20	$185.20	$250.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $350.58	Facility		$185.20	$185.20	$350.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.46 / $234.28 / $449.86	Facility		$194.46	$234.28	$449.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.03 / $212.98 / $266.69	Professional		$195.03	$212.98	$266.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $361.14 / $563.55 / $765.14	Facility		$361.14	$563.55	$765.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $364.07 / $582.99	Professional		$327.38	$364.07	$582.99
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $194.46	Professional		$77.78	$77.78	$194.46