Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $398.11 / $758.58	Facility		$213.80	$398.11	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $309.03	Professional		$97.72	$144.54	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $338.84 / $489.78	Facility		$275.42	$338.84	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $186.21 / $302.00	Professional		$72.44	$186.21	$302.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $363.08 / $446.68	Professional		$169.82	$363.08	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $229.09	Facility		$169.82	$169.82	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $239.88	Professional		$128.82	$169.82	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $323.59	Facility		$169.82	$169.82	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $234.42 / $489.78	Facility		$128.82	$234.42	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $245.47	Professional		$79.43	$186.21	$245.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $512.86 / $676.08	Facility		$257.04	$512.86	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $144.54 / $204.17	Professional		$134.90	$144.54	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $269.15	Facility		$204.17	$204.17	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $204.17	Professional		$53.70	$70.79	$204.17