Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.63 / $309.29 / $597.24	Facility		$266.63	$309.29	$597.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.58 / $206.90 / $415.94	Professional		$153.58	$206.90	$415.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.63 / $399.27 / $619.77	Facility		$346.63	$399.27	$619.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.97 / $235.12 / $382.44	Professional		$186.97	$235.12	$382.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $468.03 / $560.86	Professional		$213.30	$468.03	$560.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.97 / $223.97 / $444.84	Facility		$159.97	$223.97	$444.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $213.30 / $287.95	Professional		$213.30	$213.30	$287.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.30 / $223.97 / $470.86	Facility		$213.30	$223.97	$470.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.97 / $269.82 / $469.26	Facility		$223.97	$269.82	$469.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $234.63 / $307.14	Professional		$212.39	$234.63	$307.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $415.94 / $649.07 / $837.39	Facility		$415.94	$649.07	$837.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $376.46 / $419.19 / $670.39	Professional		$376.46	$419.19	$670.39
United Facility/Professional Professional Modifier Low / Median / High Price $63.56 / $89.59 / $213.30	Professional		$63.56	$89.59	$213.30