Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.49 / $287.08 / $554.37	Facility		$247.49	$287.08	$554.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.24 / $175.99 / $386.08	Professional		$104.24	$175.99	$386.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.73 / $495.46 / $710.87	Facility		$321.73	$495.46	$710.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $257.64 / $355.41	Professional		$173.51	$257.64	$355.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $434.65 / $520.86	Professional		$197.99	$434.65	$520.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.49 / $207.89 / $435.58	Facility		$148.49	$207.89	$435.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.99 / $217.79 / $269.70	Professional		$197.99	$217.79	$269.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $197.99 / $207.89 / $437.06	Facility		$197.99	$207.89	$437.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.89 / $250.46 / $574.16	Facility		$207.89	$250.46	$574.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.79 / $239.57 / $316.79	Professional		$217.79	$239.57	$316.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $386.08 / $611.08 / $817.98	Facility		$386.08	$611.08	$817.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $349.52 / $389.25 / $622.42	Professional		$349.52	$389.25	$622.42
United Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $113.16 / $207.89	Professional		$83.16	$113.16	$207.89