Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.28 / $685.14 / $1,195.51	Facility		$357.28	$685.14	$1,195.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $258.33 / $412.24	Professional		$175.00	$258.33	$412.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.60 / $687.76 / $798.52	Facility		$446.60	$687.76	$798.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.14 / $303.26 / $492.88	Professional		$241.14	$303.26	$492.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $603.69 / $723.40	Professional		$274.83	$603.69	$723.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $288.57 / $604.63	Facility		$206.12	$288.57	$604.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $371.02	Professional		$274.83	$274.83	$371.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $288.57 / $606.69	Facility		$274.83	$288.57	$606.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.57 / $347.66 / $687.76	Facility		$288.57	$347.66	$687.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.27 / $329.80 / $412.25	Professional		$292.27	$329.80	$412.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $535.91 / $836.31 / $1,078.96	Facility		$535.91	$836.31	$1,078.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $485.38 / $540.32 / $864.36	Professional		$485.38	$540.32	$864.36
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $115.43 / $288.57	Professional		$115.43	$115.43	$288.57