Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.89 / $525.03 / $1,433.37	Facility		$411.89	$525.03	$1,433.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.25 / $280.08 / $477.79	Professional		$237.25	$280.08	$477.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.45 / $535.45 / $957.38	Facility		$535.45	$535.45	$957.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.49 / $358.19 / $594.39	Professional		$154.49	$358.19	$594.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $723.72 / $867.24	Professional		$329.51	$723.72	$867.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.13 / $345.99 / $724.92	Facility		$247.13	$345.99	$724.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $329.51 / $444.84	Professional		$329.51	$329.51	$444.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $362.46 / $494.27	Facility		$329.51	$362.46	$494.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $345.99 / $416.83 / $832.49	Facility		$345.99	$416.83	$832.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.19 / $378.87 / $474.49	Professional		$358.19	$378.87	$474.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $560.05 / $909.58 / $1,293.56	Facility		$560.05	$909.58	$1,293.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $581.74 / $643.52 / $1,035.96	Professional		$581.74	$643.52	$1,035.96
United Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Facility		$329.51	$329.51	$329.51
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $345.99	Professional		$138.38	$138.38	$345.99