Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $407.38 / $707.95	Facility		$186.21	$407.38	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $269.15	Professional		$75.86	$114.82	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $371.54 / $457.09	Facility		$234.42	$371.54	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $281.84	Professional		$81.28	$154.88	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $309.03 / $371.54	Professional		$141.25	$309.03	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $588.84	Facility		$141.25	$141.25	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $204.17	Professional		$114.82	$165.96	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $269.15	Facility		$141.25	$141.25	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $204.17 / $416.87	Facility		$134.90	$204.17	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $213.80	Professional		$85.11	$158.49	$213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $426.58 / $588.84	Facility		$213.80	$426.58	$588.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $169.82	Professional		$114.82	$120.23	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $229.09	Facility		$169.82	$169.82	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $169.82	Professional		$60.26	$74.13	$169.82