Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $831.76	Facility		$229.09	$288.40	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $891.25	Professional		$128.82	$177.83	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $489.78 / $1,548.82	Facility		$302.00	$489.78	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $724.44	Professional		$162.18	$245.47	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $398.11 / $489.78	Professional		$186.21	$398.11	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $218.78	Facility		$186.21	$186.21	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $257.04	Professional		$186.21	$186.21	$257.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $346.74	Facility		$186.21	$186.21	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $257.04 / $549.54	Facility		$165.96	$257.04	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $204.17 / $275.42	Professional		$93.33	$204.17	$275.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $549.54 / $724.44	Facility		$275.42	$549.54	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $223.87	Professional		$147.91	$158.49	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $295.12	Facility		$223.87	$223.87	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $223.87	Professional		$77.62	$77.62	$223.87