Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.46 / $251.10 / $484.88	Facility		$216.46	$251.10	$484.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $167.97 / $514.32	Professional		$147.19	$167.97	$514.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.39 / $433.36 / $621.79	Facility		$281.39	$433.36	$621.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.63 / $225.38 / $339.86	Professional		$116.63	$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 / $321.35 / $577.67	Facility		$155.85	$321.35	$577.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $192.42 / $302.45	Professional		$173.17	$192.42	$302.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $190.49 / $382.27	Facility		$173.17	$190.49	$382.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.15 / $240.20 / $510.85	Facility		$199.15	$240.20	$510.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $219.06 / $277.08	Professional		$190.49	$219.06	$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 / $141.40 / $400.18	Professional		$103.90	$141.40	$400.18