Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $446.60 / $862.40	Facility		$385.00	$446.60	$862.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $261.80 / $446.60	Professional		$184.80	$261.80	$446.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.50 / $500.50 / $894.89	Facility		$500.50	$500.50	$894.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $335.04 / $555.98	Professional		$144.50	$335.04	$555.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $676.13 / $810.23	Professional		$308.00	$676.13	$810.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $323.39 / $677.60	Facility		$231.00	$323.39	$677.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $415.80	Professional		$308.00	$308.00	$415.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $338.80 / $462.00	Facility		$308.00	$338.80	$462.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.39 / $389.62 / $779.37	Facility		$323.39	$389.62	$779.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.04 / $354.20 / $443.52	Professional		$335.04	$354.20	$443.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $600.60 / $937.24 / $1,272.47	Facility		$600.60	$937.24	$1,272.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $544.04 / $601.94 / $968.81	Professional		$544.04	$601.94	$968.81
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $129.36 / $323.39	Professional		$129.36	$129.36	$323.39