Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.94 / $363.63 / $702.18	Facility		$300.94	$363.63	$702.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.26 / $243.26 / $1,242.52	Professional		$243.26	$243.26	$1,242.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.53 / $627.59 / $728.65	Facility		$407.53	$627.59	$728.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.92 / $319.86 / $449.99	Professional		$188.92	$319.86	$449.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $611.33 / $659.59	Professional		$250.78	$611.33	$659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $250.78 / $523.01	Facility		$132.91	$250.78	$523.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $250.78 / $338.55	Professional		$250.78	$250.78	$338.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.78 / $275.86 / $553.60	Facility		$250.78	$275.86	$553.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.65 / $300.94 / $660.19	Facility		$182.65	$300.94	$660.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.71 / $275.86 / $354.90	Professional		$250.71	$275.86	$354.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.02 / $763.12 / $1,036.07	Facility		$489.02	$763.12	$1,036.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $224.49 / $335.21 / $617.84	Professional		$224.49	$335.21	$617.84
United Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $105.33 / $300.94	Professional		$95.55	$105.33	$300.94