Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.00 / $421.72 / $769.12	Facility		$253.00	$421.72	$769.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $172.04 / $394.68	Professional		$145.72	$172.04	$394.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.90 / $506.51 / $588.07	Facility		$328.90	$506.51	$588.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $215.13 / $363.05	Professional		$94.18	$215.13	$363.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $444.59 / $532.78	Professional		$202.40	$444.59	$532.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $212.52 / $445.28	Facility		$151.80	$212.52	$445.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $202.40 / $273.24	Professional		$202.40	$202.40	$273.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $212.52 / $383.14	Facility		$202.40	$212.52	$383.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.52 / $256.04 / $506.51	Facility		$212.52	$256.04	$506.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.24 / $232.76 / $291.45	Professional		$213.24	$232.76	$291.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $394.68 / $615.90 / $836.20	Facility		$394.68	$615.90	$836.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $357.30 / $398.09 / $636.28	Professional		$357.30	$398.09	$636.28
United Facility/Professional Facility Modifier Low / Median / High Price $303.60 / $303.60 / $323.83	Facility		$303.60	$303.60	$323.83
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $85.01 / $212.52	Professional		$85.01	$85.01	$212.52