Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.91 / $250.46 / $483.64	Facility		$215.91	$250.46	$483.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.82 / $167.55 / $336.82	Professional		$127.82	$167.55	$336.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.68 / $432.24 / $536.16	Facility		$280.68	$432.24	$536.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $194.27 / $310.18	Professional		$151.47	$194.27	$310.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $379.25 / $454.47	Professional		$172.73	$379.25	$454.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.55 / $181.37 / $380.01	Facility		$129.55	$181.37	$380.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $172.73 / $233.19	Professional		$172.73	$172.73	$233.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $181.37 / $381.30	Facility		$172.73	$181.37	$381.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.37 / $218.50 / $498.83	Facility		$181.37	$218.50	$498.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $203.21 / $260.82	Professional		$190.00	$203.21	$260.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $336.82 / $525.62 / $713.62	Facility		$336.82	$525.62	$713.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $305.24 / $339.57 / $543.55	Professional		$305.24	$339.57	$543.55
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $72.55 / $207.28	Professional		$72.55	$72.55	$207.28