Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.27 / $447.18 / $600.94	Facility		$268.27	$447.18	$600.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $182.43 / $418.51	Professional		$86.58	$182.43	$418.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.75 / $537.08 / $623.57	Facility		$348.75	$537.08	$623.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.20 / $236.90 / $384.78	Professional		$188.20	$236.90	$384.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $471.57 / $565.11	Professional		$214.62	$471.57	$565.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.97 / $225.35 / $472.16	Facility		$160.97	$225.35	$472.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $214.62 / $289.74	Professional		$214.62	$214.62	$289.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $214.62 / $225.35 / $473.77	Facility		$214.62	$225.35	$473.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.35 / $271.49 / $537.08	Facility		$225.35	$271.49	$537.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.14 / $246.81 / $309.05	Professional		$226.14	$246.81	$309.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $418.51 / $653.09 / $886.68	Facility		$418.51	$653.09	$886.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $378.85 / $421.91 / $674.65	Professional		$378.85	$421.91	$674.65
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $90.14 / $219.43	Professional		$90.14	$90.14	$219.43