Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.99 / $540.84 / $652.60	Facility		$302.99	$540.84	$652.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.15 / $233.07 / $454.49	Professional		$191.15	$233.07	$454.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.75 / $583.28 / $772.13	Facility		$378.75	$583.28	$772.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.42 / $279.64 / $418.27	Professional		$204.42	$279.64	$418.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $512.05 / $613.63	Professional		$233.07	$512.05	$613.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.80 / $244.72 / $512.75	Facility		$174.80	$244.72	$512.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $238.94 / $314.64	Professional		$233.07	$238.94	$314.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $244.72 / $514.50	Facility		$233.07	$244.72	$514.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $244.72 / $294.83 / $675.90	Facility		$244.72	$294.83	$675.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.38 / $279.68 / $352.06	Professional		$256.38	$279.68	$352.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $454.49 / $709.23 / $962.91	Facility		$454.49	$709.23	$962.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $411.77 / $457.98 / $733.27	Professional		$411.77	$457.98	$733.27
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $122.91 / $279.68	Professional		$97.89	$122.91	$279.68