Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $1,412.54	Facility		$346.74	$691.83	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $489.78	Professional		$173.78	$257.04	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $724.44 / $794.33	Facility		$446.68	$724.44	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $489.78	Professional		$177.83	$302.00	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $588.84 / $724.44	Professional		$275.42	$588.84	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $575.44	Facility		$275.42	$275.42	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $389.05	Professional		$263.03	$275.42	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $575.44	Facility		$275.42	$275.42	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $380.19 / $794.33	Facility		$204.17	$380.19	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $302.00 / $407.38	Professional		$138.04	$302.00	$407.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $812.83 / $1,096.48	Facility		$416.87	$812.83	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $331.13	Professional		$218.78	$234.42	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $436.52	Facility		$331.13	$331.13	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $331.13	Professional		$114.82	$114.82	$331.13