Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.63 / $422.47 / $815.81	Facility		$349.63	$422.47	$815.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.78 / $247.66 / $568.15	Professional		$209.78	$247.66	$568.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.45 / $473.45 / $846.53	Facility		$473.45	$473.45	$846.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $309.70 / $522.84	Professional		$135.55	$309.70	$522.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $639.90 / $766.82	Professional		$291.36	$639.90	$766.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $305.93 / $640.99	Facility		$218.52	$305.93	$640.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $291.36 / $393.34	Professional		$291.36	$291.36	$393.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $291.36 / $551.54	Facility		$291.36	$291.36	$551.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $305.93 / $368.57 / $707.16	Facility		$305.93	$368.57	$707.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.58 / $335.06 / $419.56	Professional		$306.58	$335.06	$419.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $568.15 / $886.61 / $1,203.72	Facility		$568.15	$886.61	$1,203.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $514.71 / $572.98 / $916.59	Professional		$514.71	$572.98	$916.59
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $122.37 / $349.63	Professional		$122.37	$122.37	$349.63