Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.14 / $300.60 / $580.47	Facility		$259.14	$300.60	$580.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $176.21 / $300.60	Professional		$149.26	$176.21	$300.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.88 / $336.88 / $602.33	Facility		$336.88	$336.88	$602.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $225.38 / $374.01	Professional		$97.21	$225.38	$374.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $455.25 / $545.54	Professional		$207.31	$455.25	$545.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $217.68 / $456.08	Facility		$155.47	$217.68	$456.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $279.87	Professional		$207.31	$207.31	$279.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $228.04 / $310.97	Facility		$207.31	$228.04	$310.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.68 / $262.25 / $523.73	Facility		$217.68	$262.25	$523.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.38 / $238.38 / $298.52	Professional		$225.38	$238.38	$298.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.25 / $630.84 / $856.48	Facility		$404.25	$630.84	$856.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $366.28 / $404.93 / $652.27	Professional		$366.28	$404.93	$652.27
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $217.68	Professional		$87.07	$87.07	$217.68