Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.00 / $420.88 / $906.50	Facility		$325.00	$420.88	$906.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $233.10 / $469.44	Professional		$119.31	$233.10	$469.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.10 / $810.19 / $940.67	Facility		$526.10	$810.19	$940.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $341.11 / $581.00	Professional		$91.11	$341.11	$581.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $789.60 / $851.93	Professional		$323.75	$789.60	$851.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $323.75 / $675.19	Facility		$161.88	$323.75	$675.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.83 / $323.75 / $404.69	Professional		$172.83	$323.75	$404.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $356.13 / $714.68	Facility		$323.75	$356.13	$714.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.79 / $388.50 / $810.19	Facility		$235.79	$388.50	$810.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.03 / $356.13 / $453.25	Professional		$164.03	$356.13	$453.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $631.30 / $955.68 / $1,271.01	Facility		$631.30	$955.68	$1,271.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $289.95 / $798.35	Professional		$129.82	$289.95	$798.35
United Facility/Professional Facility Modifier Low / Median / High Price $485.63 / $485.63 / $518.00	Facility		$485.63	$485.63	$518.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $135.97 / $388.50	Professional		$72.52	$135.97	$388.50