Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.81 / $369.82 / $714.14	Facility		$318.81	$369.82	$714.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.64 / $216.79 / $497.35	Professional		$183.64	$216.79	$497.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $414.45 / $638.25 / $741.04	Facility		$414.45	$638.25	$741.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.70 / $281.14 / $457.63	Professional		$223.70	$281.14	$457.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $559.65 / $670.64	Professional		$255.05	$559.65	$670.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $191.29 / $260.26 / $561.11	Facility		$191.29	$260.26	$561.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $255.05 / $344.32	Professional		$255.05	$255.05	$344.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.05 / $267.80 / $563.02	Facility		$255.05	$267.80	$563.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.26 / $322.64 / $638.25	Facility		$260.26	$322.64	$638.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.14 / $293.31 / $367.27	Professional		$271.14	$293.31	$367.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $497.35 / $776.12 / $1,053.71	Facility		$497.35	$776.12	$1,053.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $450.67 / $501.53 / $802.55	Professional		$450.67	$501.53	$802.55
United Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $107.12 / $267.80	Professional		$84.06	$107.12	$267.80