Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $290.00 / $560.00	Facility		$250.00	$290.00	$560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $194.00 / $428.21	Professional		$144.00	$194.00	$428.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.00 / $500.50 / $1,043.16	Facility		$325.00	$500.50	$1,043.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.97 / $230.03 / $358.94	Professional		$210.97	$230.03	$358.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $438.91 / $525.96	Professional		$200.00	$438.91	$525.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $210.00 / $440.00	Facility		$150.00	$210.00	$440.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $270.00	Professional		$200.00	$200.00	$270.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $210.00 / $441.50	Facility		$200.00	$210.00	$441.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $253.00 / $500.50	Facility		$210.00	$253.00	$500.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $240.00 / $358.94	Professional		$220.00	$240.00	$358.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $608.60 / $785.18	Facility		$390.00	$608.60	$785.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $353.12 / $393.33 / $628.82	Professional		$353.12	$393.33	$628.82
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $240.00	Professional		$84.00	$84.00	$240.00