Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.76 / $385.88 / $600.00	Facility		$240.76	$385.88	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $189.83 / $688.20	Professional		$100.00	$189.83	$688.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.95 / $463.46 / $538.10	Facility		$300.95	$463.46	$538.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.49 / $204.44 / $332.50	Professional		$162.49	$204.44	$332.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $406.95 / $487.68	Professional		$185.20	$406.95	$487.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $194.46 / $407.44	Facility		$138.90	$194.46	$407.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $250.02	Professional		$185.20	$185.20	$250.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $194.46 / $408.83	Facility		$185.20	$194.46	$408.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.46 / $234.28 / $463.46	Facility		$194.46	$234.28	$463.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.96 / $222.24 / $332.50	Professional		$196.96	$222.24	$332.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $361.14 / $563.55 / $727.08	Facility		$361.14	$563.55	$727.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $364.07 / $582.99	Professional		$327.38	$364.07	$582.99
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $194.46	Professional		$77.78	$77.78	$194.46