Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.50 / $345.10 / $666.40	Facility		$297.50	$345.10	$666.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $202.30 / $464.10	Professional		$150.00	$202.30	$464.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.75 / $425.51 / $691.51	Facility		$386.75	$425.51	$691.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.70 / $262.58 / $427.08	Professional		$208.70	$262.58	$427.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $522.72 / $626.39	Professional		$238.00	$522.72	$626.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.50 / $249.90 / $496.35	Facility		$178.50	$249.90	$496.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $238.00 / $321.30	Professional		$238.00	$238.00	$321.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $238.00 / $249.90 / $525.39	Facility		$238.00	$249.90	$525.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.90 / $301.07 / $523.60	Facility		$249.90	$301.07	$523.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.79 / $261.80 / $342.72	Professional		$225.79	$261.80	$342.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $464.10 / $724.23 / $934.36	Facility		$464.10	$724.23	$934.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $420.15 / $468.18 / $748.19	Professional		$420.15	$468.18	$748.19
United Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $99.96 / $238.00	Professional		$67.73	$99.96	$238.00