Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $398.11 / $1,174.90	Facility		$323.59	$398.11	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $478.63	Professional		$169.82	$218.78	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $676.08 / $758.58	Facility		$426.58	$676.08	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $288.40 / $467.74	Professional		$28.84	$288.40	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $691.83	Professional		$263.03	$562.34	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $309.03	Facility		$263.03	$263.03	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $363.08	Professional		$263.03	$302.00	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $489.78	Facility		$263.03	$263.03	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $363.08 / $691.83	Facility		$194.98	$363.08	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $288.40 / $371.54	Professional		$79.43	$288.40	$371.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $758.58 / $1,023.29	Facility		$389.05	$758.58	$1,023.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $309.03	Professional		$194.98	$234.42	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Facility		$309.03	$309.03	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $309.03	Professional		$109.65	$109.65	$309.03