Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.28 / $438.80 / $847.34	Facility		$378.28	$438.80	$847.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $257.23 / $590.11	Professional		$49.94	$257.23	$590.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.75 / $491.75 / $879.25	Facility		$491.75	$491.75	$879.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $319.11 / $542.80	Professional		$28.07	$319.11	$542.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.62 / $664.75 / $796.61	Professional		$302.62	$664.75	$796.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.98 / $293.54 / $631.11	Facility		$84.98	$293.54	$631.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $302.62 / $408.54	Professional		$59.13	$302.62	$408.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $668.03	Facility		$302.62	$302.62	$668.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.94 / $382.81 / $757.30	Facility		$223.94	$382.81	$757.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $332.88 / $435.77	Professional		$63.13	$332.88	$435.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $529.59 / $893.30 / $1,188.06	Facility		$529.59	$893.30	$1,188.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $534.46 / $594.76 / $951.76	Professional		$534.46	$594.76	$951.76
United Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $302.62 / $302.62	Facility		$302.62	$302.62	$302.62
United Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $127.10 / $302.62	Professional		$23.92	$127.10	$302.62