Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.99 / $378.15 / $854.88	Facility		$325.99	$378.15	$854.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.67 / $302.41 / $552.88	Professional		$221.67	$302.41	$552.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.78 / $652.61 / $936.35	Facility		$423.78	$652.61	$936.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.59 / $339.22 / $467.62	Professional		$228.59	$339.22	$467.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $572.42 / $685.98	Professional		$260.79	$572.42	$685.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.59 / $273.83 / $573.74	Facility		$195.59	$273.83	$573.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.79 / $286.87 / $355.24	Professional		$260.79	$286.87	$355.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $260.79 / $273.83 / $575.69	Facility		$260.79	$273.83	$575.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $329.90 / $756.29	Facility		$273.83	$329.90	$756.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.87 / $321.29 / $417.25	Professional		$286.87	$321.29	$417.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $508.54 / $804.90 / $1,077.43	Facility		$508.54	$804.90	$1,077.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $460.85 / $513.10 / $820.67	Professional		$460.85	$513.10	$820.67
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $109.53 / $273.83	Professional		$109.53	$109.53	$273.83