Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.25 / $437.26 / $710.00	Facility		$219.25	$437.26	$710.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $149.09 / $342.03	Professional		$75.00	$149.09	$342.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.02 / $438.94 / $509.62	Facility		$285.02	$438.94	$509.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $193.38 / $314.88	Professional		$153.91	$193.38	$314.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $384.93 / $461.29	Professional		$175.40	$384.93	$461.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.55 / $184.17 / $385.88	Facility		$131.55	$184.17	$385.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $175.40 / $236.79	Professional		$175.40	$175.40	$236.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $184.17 / $387.20	Facility		$175.40	$184.17	$387.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.17 / $221.88 / $438.94	Facility		$184.17	$221.88	$438.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $201.71 / $252.58	Professional		$184.79	$201.71	$252.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $342.03 / $533.74 / $724.65	Facility		$342.03	$533.74	$724.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $310.02 / $345.01 / $552.08	Professional		$310.02	$345.01	$552.08
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $184.17	Professional		$73.67	$73.67	$184.17