Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $339.30 / $655.20	Facility		$292.50	$339.30	$655.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $198.90 / $456.30	Professional		$82.93	$198.90	$456.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.25 / $522.71 / $679.89	Facility		$380.25	$522.71	$679.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.33 / $257.95 / $420.03	Professional		$205.33	$257.95	$420.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $513.48 / $615.32	Professional		$234.00	$513.48	$615.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.50 / $245.70 / $514.79	Facility		$175.50	$245.70	$514.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $315.89	Professional		$234.00	$234.00	$315.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $245.70 / $516.55	Facility		$234.00	$245.70	$516.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.70 / $296.01 / $568.54	Facility		$245.70	$296.01	$568.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.95 / $257.39 / $336.96	Professional		$170.95	$257.39	$336.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $456.30 / $712.06 / $918.66	Facility		$456.30	$712.06	$918.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $413.56 / $460.02 / $736.47	Professional		$413.56	$460.02	$736.47
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $98.28 / $245.70	Professional		$98.28	$98.28	$245.70