Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.38 / $350.76 / $677.32	Facility		$302.38	$350.76	$677.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $251.92 / $471.71	Professional		$205.62	$251.92	$471.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.10 / $605.37 / $863.49	Facility		$393.10	$605.37	$863.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $314.93 / $474.77	Professional		$153.16	$314.93	$474.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $531.23 / $636.60	Professional		$241.90	$531.23	$636.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.43 / $254.00 / $532.17	Facility		$181.43	$254.00	$532.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $266.08 / $329.51	Professional		$241.90	$266.08	$329.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $254.00 / $533.99	Facility		$241.90	$254.00	$533.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $306.00 / $701.51	Facility		$254.00	$306.00	$701.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $292.70 / $387.03	Professional		$266.08	$292.70	$387.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $471.71 / $746.60 / $999.39	Facility		$471.71	$746.60	$999.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $427.33 / $475.67 / $760.98	Professional		$427.33	$475.67	$760.98
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $101.60 / $290.27	Professional		$101.60	$101.60	$290.27