Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.56 / $257.01 / $496.30	Facility		$221.56	$257.01	$496.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $166.62 / $345.64	Professional		$142.49	$166.62	$345.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.02 / $443.56 / $636.41	Facility		$288.02	$443.56	$636.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $230.70 / $317.81	Professional		$155.44	$230.70	$317.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $389.20 / $466.40	Professional		$177.25	$389.20	$466.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $186.11 / $389.95	Facility		$132.94	$186.11	$389.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $177.25 / $241.45	Professional		$177.25	$177.25	$241.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $186.11 / $391.28	Facility		$177.25	$186.11	$391.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.11 / $224.22 / $514.03	Facility		$186.11	$224.22	$514.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.37 / $283.58	Professional		$194.98	$218.37	$283.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $345.64 / $547.08 / $732.29	Facility		$345.64	$547.08	$732.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $348.42 / $557.41	Professional		$313.02	$348.42	$557.41
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $101.31 / $212.70	Professional		$74.45	$101.31	$212.70