Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.14 / $300.60 / $580.47	Facility		$259.14	$300.60	$580.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $201.09 / $404.25	Professional		$176.21	$201.09	$404.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.88 / $518.79 / $1,135.32	Facility		$336.88	$518.79	$1,135.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.60 / $269.77 / $371.86	Professional		$224.60	$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 / $290.23	Professional		$207.31	$228.04	$290.23
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 / $256.64 / $430.31	Professional		$228.04	$256.64	$430.31
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 / $124.39 / $248.77	Professional		$87.07	$124.39	$248.77