Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.25 / $254.33 / $491.12	Facility		$219.25	$254.33	$491.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $149.09 / $254.33	Professional		$126.29	$149.09	$254.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.02 / $285.02 / $509.62	Facility		$285.02	$285.02	$509.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $190.86 / $316.70	Professional		$82.32	$190.86	$316.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $384.93 / $461.29	Professional		$175.40	$384.93	$461.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.80 / $184.17 / $385.88	Facility		$129.80	$184.17	$385.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $175.40 / $236.79	Professional		$175.40	$175.40	$236.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $192.94 / $263.10	Facility		$175.40	$192.94	$263.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.17 / $221.88 / $444.05	Facility		$184.17	$221.88	$444.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.86 / $201.71 / $252.58	Professional		$190.86	$201.71	$252.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $298.42 / $484.17 / $688.57	Facility		$298.42	$484.17	$688.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $310.02 / $342.90 / $552.08	Professional		$310.02	$342.90	$552.08
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $210.48	Professional		$73.67	$73.67	$210.48