Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $389.05 / $1,148.15	Facility		$316.23	$389.05	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $467.74	Professional		$162.18	$208.93	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $676.08 / $741.31	Facility		$416.87	$676.08	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $281.84 / $457.09	Professional		$147.91	$281.84	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $549.54 / $676.08	Professional		$257.04	$549.54	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $288.40	Facility		$257.04	$257.04	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $354.81	Professional		$257.04	$263.03	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $478.63	Facility		$257.04	$257.04	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $741.31	Facility		$199.53	$354.81	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $281.84 / $363.08	Professional		$147.91	$281.84	$363.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $758.58 / $1,047.13	Facility		$380.19	$758.58	$1,047.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $309.03	Professional		$204.17	$218.78	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $407.38	Facility		$309.03	$309.03	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $309.03	Professional		$83.18	$107.15	$309.03