Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.54 / $398.50 / $769.52	Facility		$343.54	$398.50	$769.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.88 / $233.61 / $535.91	Professional		$197.88	$233.61	$535.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.60 / $446.60 / $798.52	Facility		$446.60	$446.60	$798.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $292.27 / $492.88	Professional		$128.00	$292.27	$492.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $603.69 / $723.40	Professional		$274.83	$603.69	$723.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $288.57 / $604.63	Facility		$206.12	$288.57	$604.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $371.02	Professional		$274.83	$274.83	$371.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $274.83 / $520.25	Facility		$274.83	$274.83	$520.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.57 / $347.66 / $667.32	Facility		$288.57	$347.66	$667.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.51 / $315.99 / $395.76	Professional		$289.51	$315.99	$395.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $535.91 / $836.31 / $1,135.43	Facility		$535.91	$836.31	$1,135.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $485.38 / $540.32 / $864.36	Professional		$485.38	$540.32	$864.36
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $288.57	Professional		$115.43	$115.43	$288.57