Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.81 / $373.30 / $720.86	Facility		$321.81	$373.30	$720.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.12 / $249.73 / $502.03	Professional		$186.12	$249.73	$502.03
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 $170.20 / $335.04 / $504.96	Professional		$170.20	$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 $193.09 / $308.94 / $772.20	Facility		$193.09	$308.94	$772.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $283.20 / $353.88	Professional		$257.45	$283.20	$353.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $270.32 / $568.32	Facility		$257.45	$270.32	$568.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.32 / $326.95 / $746.61	Facility		$270.32	$326.95	$746.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.20 / $317.18 / $411.91	Professional		$283.20	$317.18	$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