Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $338.84 / $977.24	Facility		$275.42	$338.84	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $363.08	Professional		$144.54	$204.17	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $575.44 / $758.58	Facility		$354.81	$575.44	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $426.58	Professional		$134.90	$234.42	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $467.74 / $575.44	Professional		$218.78	$467.74	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $245.47	Facility		$218.78	$218.78	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $302.00	Professional		$218.78	$239.88	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $416.87	Facility		$218.78	$218.78	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $302.00 / $645.65	Facility		$194.98	$302.00	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $338.84	Professional		$141.25	$245.47	$338.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $660.69 / $891.25	Facility		$323.59	$660.69	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $186.21 / $263.03	Professional		$177.83	$186.21	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $346.74	Facility		$263.03	$263.03	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $263.03	Professional		$91.20	$123.03	$263.03