Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.20 / $422.47 / $815.81	Facility		$364.20	$422.47	$815.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $247.66 / $568.15	Professional		$133.72	$247.66	$568.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.45 / $729.11 / $846.53	Facility		$473.45	$729.11	$846.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.52 / $321.45 / $522.84	Professional		$255.52	$321.45	$522.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $639.90 / $766.82	Professional		$291.36	$639.90	$766.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $305.93 / $640.99	Facility		$218.52	$305.93	$640.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $291.36 / $407.90	Professional		$291.36	$291.36	$407.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $305.93 / $643.17	Facility		$291.36	$305.93	$643.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $305.93 / $368.57 / $729.11	Facility		$305.93	$368.57	$729.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.95 / $335.06 / $419.56	Professional		$306.95	$335.06	$419.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $568.15 / $886.61 / $1,203.72	Facility		$568.15	$886.61	$1,203.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $514.71 / $572.98 / $916.59	Professional		$514.71	$572.98	$916.59
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $122.37 / $349.63	Professional		$122.37	$122.37	$349.63