Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.43 / $383.29 / $740.15	Facility		$330.43	$383.29	$740.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.32 / $224.69 / $515.46	Professional		$190.32	$224.69	$515.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.55 / $634.54 / $768.04	Facility		$429.55	$634.54	$768.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $281.14 / $474.08	Professional		$119.07	$281.14	$474.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $580.24 / $695.33	Professional		$264.33	$580.24	$695.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.91 / $356.86 / $590.13	Facility		$237.91	$356.86	$590.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $264.33 / $356.86	Professional		$250.32	$264.33	$356.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $290.77 / $583.53	Facility		$264.33	$290.77	$583.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.56 / $335.71 / $661.51	Facility		$277.56	$335.71	$661.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $303.99 / $380.65	Professional		$264.33	$303.99	$380.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $515.46 / $804.39 / $1,092.08	Facility		$515.46	$804.39	$1,092.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $466.83 / $519.90 / $831.32	Professional		$466.83	$519.90	$831.32
United Facility/Professional Professional Modifier Low / Median / High Price $144.31 / $158.60 / $528.67	Professional		$144.31	$158.60	$528.67