Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $407.38 / $1,202.26	Facility		$331.13	$407.38	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $478.63	Professional		$162.18	$218.78	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $776.25	Facility		$426.58	$630.96	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $288.40 / $478.63	Professional		$120.23	$288.40	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $691.83	Professional		$263.03	$562.34	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $389.05	Facility		$263.03	$263.03	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $371.54	Professional		$239.88	$263.03	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $501.19	Facility		$263.03	$263.03	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $371.54 / $776.25	Facility		$251.19	$371.54	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $288.40 / $380.19	Professional		$117.49	$288.40	$380.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $794.33 / $1,096.48	Facility		$398.11	$794.33	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $316.23	Professional		$213.80	$223.87	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $426.58	Facility		$316.23	$316.23	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $501.19	Professional		$144.54	$158.49	$501.19