Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $380.19 / $912.01	Facility		$251.19	$380.19	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $371.54	Professional		$128.82	$165.96	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $524.81 / $588.84	Facility		$331.13	$524.81	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $218.78 / $363.08	Professional		$93.33	$218.78	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $436.52 / $537.03	Professional		$204.17	$436.52	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $281.84	Professional		$194.98	$204.17	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $302.00	Facility		$204.17	$204.17	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $281.84 / $588.84	Facility		$181.97	$281.84	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $288.40	Professional		$112.20	$223.87	$288.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $602.56 / $831.76	Facility		$302.00	$602.56	$831.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $245.47	Professional		$162.18	$173.78	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $323.59	Facility		$245.47	$245.47	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $245.47	Professional		$85.11	$85.11	$245.47