Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $302.93 / $584.98	Facility		$261.14	$302.93	$584.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.60 / $196.38 / $407.39	Professional		$154.60	$196.38	$407.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.50 / $522.83 / $750.11	Facility		$339.50	$522.83	$750.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.30 / $271.68 / $374.80	Professional		$183.30	$271.68	$374.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.92 / $458.79 / $549.79	Professional		$208.92	$458.79	$549.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.69 / $219.37 / $459.62	Facility		$156.69	$219.37	$459.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.92 / $208.92 / $284.58	Professional		$208.92	$208.92	$284.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.92 / $219.37 / $461.19	Facility		$208.92	$219.37	$461.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.37 / $264.27 / $605.87	Facility		$219.37	$264.27	$605.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $257.39 / $334.27	Professional		$229.81	$257.39	$334.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.39 / $644.79 / $863.13	Facility		$407.39	$644.79	$863.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $369.27 / $411.02 / $657.60	Professional		$369.27	$411.02	$657.60
United Facility/Professional Facility Modifier Low / Median / High Price $313.38 / $313.38 / $334.27	Facility		$313.38	$313.38	$334.27
United Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $119.41 / $250.70	Professional		$87.75	$119.41	$250.70