Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.60 / $548.77 / $1,074.94	Facility		$353.60	$548.77	$1,074.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $224.56 / $700.00	Professional		$99.66	$224.56	$700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.68 / $707.90 / $981.58	Facility		$459.68	$707.90	$981.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.24 / $325.14 / $555.08	Professional		$298.24	$325.14	$555.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $621.44 / $744.68	Professional		$282.88	$621.44	$744.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $297.02 / $622.34	Facility		$212.16	$297.02	$622.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $381.89	Professional		$282.88	$282.88	$381.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $297.02 / $624.46	Facility		$282.88	$297.02	$624.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $357.84 / $707.90	Facility		$297.02	$357.84	$707.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $311.17 / $407.35	Professional		$254.59	$311.17	$407.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $551.62 / $860.80 / $1,110.56	Facility		$551.62	$860.80	$1,110.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $499.75 / $555.97 / $889.94	Professional		$499.75	$555.97	$889.94
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $297.02	Professional		$118.81	$118.81	$297.02