Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.41 / $274.79 / $530.63	Facility		$227.41	$274.79	$530.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $183.82 / $274.79	Professional		$51.78	$183.82	$274.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.95 / $474.24 / $550.61	Facility		$307.95	$474.24	$550.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $199.58 / $340.14	Professional		$37.47	$199.58	$340.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.51 / $462.24 / $498.72	Professional		$189.51	$462.24	$498.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $183.82 / $395.21	Facility		$64.84	$183.82	$395.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $189.51 / $227.41	Professional		$71.23	$189.51	$227.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $170.56 / $198.99 / $418.34	Facility		$170.56	$198.99	$418.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.76 / $227.41 / $413.13	Facility		$94.76	$227.41	$413.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $208.46 / $265.31	Professional		$67.59	$208.46	$265.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $353.03 / $559.41 / $744.00	Facility		$353.03	$559.41	$744.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $169.74 / $466.86	Professional		$53.51	$169.74	$466.86
United Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $79.59 / $227.41	Professional		$29.89	$79.59	$227.41