Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.08 / $251.81 / $486.25	Facility		$217.08	$251.81	$486.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $173.66 / $338.64	Professional		$147.61	$173.66	$338.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.20 / $434.59 / $597.19	Facility		$282.20	$434.59	$597.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $216.28 / $340.50	Professional		$111.92	$216.28	$340.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $381.39 / $457.02	Professional		$173.66	$381.39	$457.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.29 / $308.64 / $555.27	Facility		$156.29	$308.64	$555.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $191.03 / $280.86	Professional		$173.66	$191.03	$280.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.66 / $199.71 / $383.35	Facility		$173.66	$199.71	$383.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.71 / $234.44 / $503.61	Facility		$199.71	$234.44	$503.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.03 / $216.28 / $272.43	Professional		$191.03	$216.28	$272.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $338.64 / $528.45 / $717.46	Facility		$338.64	$528.45	$717.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $306.43 / $341.61 / $545.69	Professional		$306.43	$341.61	$545.69
United Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $135.80 / $401.31	Professional		$104.20	$135.80	$401.31