Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.07 / $257.45 / $497.17	Facility		$213.07	$257.45	$497.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.46 / $172.23 / $659.81	Professional		$88.46	$172.23	$659.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.52 / $444.33 / $515.88	Facility		$288.52	$444.33	$515.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $187.06 / $318.39	Professional		$85.23	$187.06	$318.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $433.06 / $467.23	Professional		$177.56	$433.06	$467.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $177.56 / $370.29	Facility		$88.78	$177.56	$370.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.40 / $177.56 / $239.71	Professional		$163.40	$177.56	$239.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $195.32 / $391.96	Facility		$177.56	$195.32	$391.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.78 / $213.07 / $444.33	Facility		$88.78	$213.07	$444.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $195.32 / $248.58	Professional		$155.22	$195.32	$248.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $346.24 / $540.32 / $733.57	Facility		$346.24	$540.32	$733.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $163.40 / $437.33	Professional		$122.55	$163.40	$437.33
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $74.58 / $213.07	Professional		$74.58	$74.58	$213.07