Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $309.03 / $912.01	Facility		$251.19	$309.03	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $363.08	Professional		$147.91	$190.55	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $524.81 / $724.44	Facility		$331.13	$524.81	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $363.08	Professional		$154.88	$223.87	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $436.52 / $524.81	Professional		$199.53	$436.52	$524.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $229.09	Facility		$199.53	$199.53	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $281.84	Professional		$199.53	$223.87	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $380.19	Facility		$199.53	$199.53	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $281.84 / $588.84	Facility		$181.97	$281.84	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $316.23	Professional		$125.89	$223.87	$316.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $602.56 / $831.76	Facility		$302.00	$602.56	$831.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $239.88	Professional		$162.18	$169.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $323.59	Facility		$239.88	$239.88	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $239.88	Professional		$85.11	$114.82	$239.88