Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $431.68 / $491.89	Facility		$225.12	$431.68	$491.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $155.34 / $514.32	Professional		$147.19	$155.34	$514.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.39 / $433.36 / $534.51	Facility		$281.39	$433.36	$534.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $225.38 / $339.86	Professional		$100.24	$225.38	$339.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $379.96 / $455.33	Professional		$173.17	$379.96	$455.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.85 / $276.24 / $497.17	Facility		$155.85	$276.24	$497.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $192.42 / $245.20	Professional		$173.17	$192.42	$245.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $199.15 / $382.27	Facility		$173.17	$199.15	$382.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.15 / $233.78 / $497.17	Facility		$199.15	$233.78	$497.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $209.54 / $277.08	Professional		$190.49	$209.54	$277.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $337.68 / $534.50 / $715.43	Facility		$337.68	$534.50	$715.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $305.83 / $340.25 / $544.62	Professional		$305.83	$340.25	$544.62
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $121.55 / $379.53	Professional		$103.90	$121.55	$379.53