Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.88 / $292.18 / $564.20	Facility		$251.88	$292.18	$564.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $179.11 / $392.93	Professional		$149.11	$179.11	$392.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.45 / $504.27 / $723.51	Facility		$327.45	$504.27	$723.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.57 / $262.19 / $361.29	Professional		$176.57	$262.19	$361.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $442.47 / $530.23	Professional		$201.50	$442.47	$530.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.13 / $211.58 / $443.30	Facility		$151.13	$211.58	$443.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $221.65 / $274.48	Professional		$201.50	$221.65	$274.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.50 / $211.58 / $444.81	Facility		$201.50	$211.58	$444.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.58 / $254.90 / $584.35	Facility		$211.58	$254.90	$584.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.65 / $248.25 / $322.39	Professional		$221.65	$248.25	$322.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $392.93 / $621.90 / $832.48	Facility		$392.93	$621.90	$832.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $356.11 / $396.05 / $634.15	Professional		$356.11	$396.05	$634.15
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $115.17 / $241.80	Professional		$84.63	$115.17	$241.80