Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.74 / $655.61 / $1,005.98	Facility		$328.74	$655.61	$1,005.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $193.53 / $361.16	Professional		$170.94	$193.53	$361.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.35 / $658.12 / $764.10	Facility		$427.35	$658.12	$764.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $279.67 / $511.28	Professional		$135.00	$279.67	$511.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $577.41 / $691.91	Professional		$262.99	$577.41	$691.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.24 / $276.14 / $578.58	Facility		$197.24	$276.14	$578.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $262.99 / $355.04	Professional		$262.99	$262.99	$355.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $276.14 / $580.54	Facility		$262.99	$276.14	$580.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $332.68 / $712.14	Facility		$276.14	$332.68	$712.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.75 / $302.44 / $397.11	Professional		$277.75	$302.44	$397.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.83 / $800.28 / $1,086.52	Facility		$512.83	$800.28	$1,086.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $464.44 / $517.17 / $827.06	Professional		$464.44	$517.17	$827.06
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $110.46 / $276.14	Professional		$110.46	$110.46	$276.14