Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.63 / $377.73 / $729.40	Facility		$325.63	$377.73	$729.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.56 / $244.87 / $507.98	Professional		$187.56	$244.87	$507.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.33 / $651.91 / $756.91	Facility		$423.33	$651.91	$756.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $287.20 / $467.62	Professional		$28.54	$287.20	$467.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $634.97 / $685.12	Professional		$260.50	$634.97	$685.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.72 / $260.50 / $543.28	Facility		$189.72	$260.50	$543.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $260.50 / $364.70	Professional		$260.50	$260.50	$364.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $273.52 / $575.04	Facility		$260.50	$273.52	$575.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.72 / $312.60 / $567.89	Facility		$189.72	$312.60	$567.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $286.55 / $375.12	Professional		$260.50	$286.55	$375.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $507.98 / $792.70 / $1,022.70	Facility		$507.98	$792.70	$1,022.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $237.06 / $484.47 / $728.63	Professional		$237.06	$484.47	$728.63
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $109.41 / $312.60	Professional		$109.41	$109.41	$312.60