Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.89 / $655.61 / $1,144.01	Facility		$341.89	$655.61	$1,144.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.35 / $223.54 / $512.83	Professional		$189.35	$223.54	$512.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.35 / $427.35 / $764.10	Facility		$427.35	$427.35	$764.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $286.08 / $474.76	Professional		$123.39	$286.08	$474.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $577.41 / $691.91	Professional		$262.99	$577.41	$691.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.24 / $276.14 / $578.58	Facility		$197.24	$276.14	$578.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $289.29 / $355.04	Professional		$262.99	$289.29	$355.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $289.29 / $394.49	Facility		$262.99	$289.29	$394.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $332.68 / $665.66	Facility		$276.14	$332.68	$665.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.08 / $302.44 / $378.71	Professional		$286.08	$302.44	$378.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.83 / $800.28 / $1,086.52	Facility		$512.83	$800.28	$1,086.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $464.44 / $514.00 / $827.06	Professional		$464.44	$514.00	$827.06
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $110.46 / $315.58	Professional		$110.46	$110.46	$315.58