Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.73 / $470.64 / $908.82	Facility		$405.73	$470.64	$908.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $240.19 / $571.26	Professional		$194.75	$240.19	$571.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.45 / $812.27 / $943.08	Facility		$527.45	$812.27	$943.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $344.95 / $582.16	Professional		$151.16	$344.95	$582.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $712.34 / $853.62	Professional		$324.58	$712.34	$853.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.44 / $340.81 / $714.08	Facility		$243.44	$340.81	$714.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $438.18	Professional		$324.58	$324.58	$438.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $324.58 / $568.02	Facility		$324.58	$324.58	$568.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $340.81 / $410.59 / $812.27	Facility		$340.81	$410.59	$812.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.25 / $373.27 / $467.40	Professional		$342.25	$373.27	$467.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $632.92 / $987.70 / $1,340.97	Facility		$632.92	$987.70	$1,340.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $573.36 / $638.30 / $1,021.04	Professional		$573.36	$638.30	$1,021.04
United Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $136.32 / $324.58	Professional		$136.32	$136.32	$324.58