Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $446.68 / $1,318.26	Facility		$363.08	$446.68	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $537.03	Professional		$158.49	$239.88	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $758.58 / $851.14	Facility		$478.63	$758.58	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $524.81	Professional		$165.96	$323.59	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $630.96 / $758.58	Professional		$288.40	$630.96	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $288.40 / $407.38	Facility		$281.84	$288.40	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $407.38	Professional		$245.47	$288.40	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $549.54	Facility		$288.40	$288.40	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $407.38 / $851.14	Facility		$218.78	$407.38	$851.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $416.87	Professional		$147.91	$323.59	$416.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $870.96 / $1,202.26	Facility		$436.52	$870.96	$1,202.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $346.74	Professional		$234.42	$245.47	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $467.74	Facility		$346.74	$346.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $346.74	Professional		$123.03	$123.03	$346.74