Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $423.54 / $912.24	Facility		$400.00	$423.54	$912.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $234.58 / $472.41	Professional		$108.46	$234.58	$472.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.42 / $815.31 / $946.61	Facility		$529.42	$815.31	$946.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $343.39 / $584.52	Professional		$82.76	$343.39	$584.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $794.32 / $857.03	Professional		$325.80	$794.32	$857.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.90 / $325.80 / $679.46	Facility		$162.90	$325.80	$679.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.12 / $325.80 / $407.25	Professional		$157.12	$325.80	$407.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $358.38 / $719.20	Facility		$325.80	$358.38	$719.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.28 / $390.96 / $815.31	Facility		$237.28	$390.96	$815.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.12 / $358.38 / $456.12	Professional		$149.12	$358.38	$456.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $635.30 / $961.73 / $1,279.06	Facility		$635.30	$961.73	$1,279.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.02 / $291.69 / $803.27	Professional		$118.02	$291.69	$803.27
United Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $136.84 / $325.80	Professional		$65.93	$136.84	$325.80