Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $1,445.44	Facility		$407.38	$501.19	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $588.84	Professional		$218.78	$295.12	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $851.14 / $933.25	Facility		$524.81	$851.14	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $354.81 / $588.84	Professional		$186.21	$354.81	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $691.83 / $851.14	Professional		$323.59	$691.83	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $371.54	Facility		$323.59	$323.59	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $331.13 / $457.09	Professional		$323.59	$331.13	$457.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $616.60	Facility		$323.59	$323.59	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $446.68 / $933.25	Facility		$245.47	$446.68	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $354.81 / $467.74	Professional		$165.96	$354.81	$467.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $977.24 / $1,348.96	Facility		$489.78	$977.24	$1,348.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $275.42 / $389.05	Professional		$257.04	$275.42	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $524.81	Facility		$389.05	$389.05	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $389.05	Professional		$134.90	$138.04	$389.05