Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.40 / $268.42 / $518.34	Facility		$231.40	$268.42	$518.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.29 / $179.57 / $1,048.23	Professional		$133.29	$179.57	$1,048.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.83 / $463.27 / $1,546.69	Facility		$300.83	$463.27	$1,546.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.03 / $212.91 / $362.98	Professional		$195.03	$212.91	$362.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $406.24 / $486.82	Professional		$185.12	$406.24	$486.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.84 / $194.38 / $407.26	Facility		$138.84	$194.38	$407.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.12 / $185.12 / $249.91	Professional		$185.12	$185.12	$249.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $194.38 / $408.65	Facility		$185.12	$194.38	$408.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.38 / $234.18 / $463.27	Facility		$194.38	$234.18	$463.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.38 / $212.89 / $266.57	Professional		$200.38	$212.89	$266.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $360.98 / $563.32 / $726.76	Facility		$360.98	$563.32	$726.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $364.07 / $581.92	Professional		$326.77	$364.07	$581.92
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $77.75 / $222.14	Professional		$77.75	$77.75	$222.14