Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.78 / $278.86 / $538.50	Facility		$230.78	$278.86	$538.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.47 / $238.73 / $375.02	Professional		$138.47	$238.73	$375.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.52 / $418.34 / $558.79	Facility		$312.52	$418.34	$558.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.61 / $212.29 / $344.84	Professional		$168.61	$212.29	$344.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $422.58 / $506.40	Professional		$192.32	$422.58	$506.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.24 / $186.55 / $401.08	Facility		$144.24	$186.55	$401.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $192.32 / $259.63	Professional		$192.32	$192.32	$259.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $201.94 / $424.55	Facility		$192.32	$201.94	$424.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.55 / $243.28 / $423.10	Facility		$186.55	$243.28	$423.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $221.17 / $276.94	Professional		$192.32	$221.17	$276.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $375.02 / $585.23 / $791.21	Facility		$375.02	$585.23	$791.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $339.95 / $378.36 / $605.37	Professional		$339.95	$378.36	$605.37
United Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $80.77 / $230.78	Professional		$79.84	$80.77	$230.78