Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $457.09 / $1,348.96	Facility		$371.54	$457.09	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $245.47 / $549.54	Professional		$61.66	$245.47	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $870.96	Facility		$489.78	$489.78	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $331.13 / $537.03	Professional		$48.98	$331.13	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $645.65 / $794.33	Professional		$302.00	$645.65	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $302.00 / $416.87	Professional		$95.50	$302.00	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $562.34	Facility		$302.00	$302.00	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $416.87 / $870.96	Facility		$223.87	$416.87	$870.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $331.13 / $436.52	Professional		$79.43	$331.13	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $870.96 / $1,174.90	Facility		$446.68	$870.96	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $363.08	Professional		$239.88	$257.04	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $478.63	Facility		$363.08	$363.08	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $125.89 / $316.23	Professional		$37.15	$125.89	$316.23