Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.56 / $280.20 / $541.10	Facility		$241.56	$280.20	$541.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $167.61 / $376.84	Professional		$139.13	$167.61	$376.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.02 / $483.60 / $561.48	Facility		$314.02	$483.60	$561.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.74 / $205.49 / $346.94	Professional		$91.74	$205.49	$346.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $424.01 / $508.09	Professional		$193.25	$424.01	$508.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.94 / $197.19 / $425.15	Facility		$144.94	$197.19	$425.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $193.25 / $260.89	Professional		$193.25	$193.25	$260.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $202.91 / $426.60	Facility		$193.25	$202.91	$426.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.19 / $244.46 / $483.60	Facility		$197.19	$244.46	$483.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.76 / $222.07 / $278.27	Professional		$203.76	$222.07	$278.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $376.84 / $588.05 / $798.39	Facility		$376.84	$588.05	$798.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $341.15 / $379.72 / $607.51	Professional		$341.15	$379.72	$607.51
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $81.17 / $202.91	Professional		$81.17	$81.17	$202.91