Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $275.42 / $794.33	Facility		$223.87	$275.42	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $275.42	Professional		$95.50	$138.04	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $426.58 / $512.86	Facility		$288.40	$426.58	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $204.17 / $316.23	Professional		$81.28	$204.17	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $380.19 / $457.09	Professional		$177.83	$380.19	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $239.88	Professional		$162.18	$177.83	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $338.84	Facility		$177.83	$177.83	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $245.47 / $524.81	Facility		$173.78	$245.47	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $275.42	Professional		$85.11	$194.98	$275.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $537.03 / $741.31	Facility		$269.15	$537.03	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $213.80	Professional		$123.03	$162.18	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $281.84	Facility		$213.80	$213.80	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $213.80	Professional		$74.13	$74.13	$213.80