Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.14 / $481.05 / $580.47	Facility		$259.14	$481.05	$580.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.20 / $184.28 / $404.25	Professional		$113.20	$184.28	$404.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.88 / $518.79 / $744.37	Facility		$336.88	$518.79	$744.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $269.77 / $371.86	Professional		$181.77	$269.77	$371.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $455.25 / $545.54	Professional		$207.31	$455.25	$545.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.47 / $217.68 / $456.08	Facility		$155.47	$217.68	$456.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $228.04 / $282.39	Professional		$207.31	$228.04	$282.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $217.68 / $457.64	Facility		$207.31	$217.68	$457.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.68 / $262.25 / $601.20	Facility		$217.68	$262.25	$601.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $255.41 / $331.70	Professional		$228.04	$255.41	$331.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.25 / $639.85 / $856.48	Facility		$404.25	$639.85	$856.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $366.28 / $407.62 / $652.27	Professional		$366.28	$407.62	$652.27
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $248.77	Professional		$87.07	$87.07	$248.77