Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.94 / $551.00 / $1,101.05	Facility		$308.94	$551.00	$1,101.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.34 / $233.41 / $373.30	Professional		$224.34	$233.41	$373.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.35 / $644.26 / $924.34	Facility		$418.35	$644.26	$924.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $335.04 / $504.96	Professional		$173.28	$335.04	$504.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $565.32 / $677.46	Professional		$257.45	$565.32	$677.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.71 / $477.74 / $859.05	Facility		$231.71	$477.74	$859.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $286.05 / $434.74	Professional		$257.45	$286.05	$434.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $264.50 / $568.32	Facility		$257.45	$264.50	$568.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.07 / $357.11 / $759.48	Facility		$296.07	$357.11	$759.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.20 / $322.07 / $411.91	Professional		$283.20	$322.07	$411.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $502.03 / $794.60 / $1,063.63	Facility		$502.03	$794.60	$1,063.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $454.86 / $506.29 / $810.01	Professional		$454.86	$506.29	$810.01
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $108.13 / $308.94	Professional		$108.13	$108.13	$308.94