Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.00 / $293.48 / $566.72	Facility		$253.00	$293.48	$566.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $196.33 / $394.68	Professional		$145.72	$196.33	$394.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.90 / $501.82 / $588.07	Facility		$328.90	$501.82	$588.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.49 / $223.35 / $363.05	Professional		$177.49	$223.35	$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 / $446.80	Facility		$202.40	$212.52	$446.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.52 / $256.04 / $501.82	Facility		$212.52	$256.04	$501.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.43 / $223.35 / $291.45	Professional		$209.43	$223.35	$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 Professional Modifier Low / Median / High Price $79.88 / $85.01 / $212.52	Professional		$79.88	$85.01	$212.52