Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.93 / $320.07 / $618.07	Facility		$275.93	$320.07	$618.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $209.52 / $430.44	Professional		$179.00	$209.52	$430.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.70 / $552.40 / $792.59	Facility		$358.70	$552.40	$792.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.71 / $287.23 / $395.95	Professional		$193.71	$287.23	$395.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $484.36 / $580.44	Professional		$220.74	$484.36	$580.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.56 / $231.78 / $485.63	Facility		$165.56	$231.78	$485.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $242.81 / $300.70	Professional		$220.74	$242.81	$300.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $231.78 / $487.28	Facility		$220.74	$231.78	$487.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $231.78 / $279.24 / $640.15	Facility		$231.78	$279.24	$640.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $242.81 / $271.95 / $353.19	Professional		$242.81	$271.95	$353.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $430.44 / $681.30 / $911.97	Facility		$430.44	$681.30	$911.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.62 / $434.16 / $693.84	Professional		$389.62	$434.16	$693.84
United Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $126.17 / $264.89	Professional		$92.71	$126.17	$264.89