Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $278.39 / $537.60	Facility		$240.00	$278.39	$537.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $163.19 / $374.40	Professional		$71.12	$163.19	$374.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $312.00 / $557.86	Facility		$312.00	$312.00	$557.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $211.93 / $344.25	Professional		$38.93	$211.93	$344.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $421.87 / $505.54	Professional		$192.00	$421.87	$505.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $201.60 / $400.42	Facility		$144.00	$201.60	$400.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $259.20	Professional		$192.00	$192.00	$259.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $192.00 / $423.84	Facility		$192.00	$192.00	$423.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.60 / $242.88 / $422.40	Facility		$201.60	$242.88	$422.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $211.20 / $276.48	Professional		$117.14	$211.20	$276.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $584.26 / $753.77	Facility		$384.00	$584.26	$753.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $339.35 / $377.68 / $604.30	Professional		$339.35	$377.68	$604.30
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $80.64 / $192.00	Professional		$35.14	$80.64	$192.00