Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.01 / $263.01 / $438.64	Facility		$263.01	$263.01	$438.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $286.89	Professional		$222.25	$222.25	$286.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $354.51 / $798.72	Facility		$209.67	$354.51	$798.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Professional		$399.36	$399.36	$399.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $520.59 / $659.59	Professional		$222.25	$520.59	$659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $317.82 / $477.84	Facility		$222.25	$317.82	$477.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $244.48 / $288.93	Professional		$222.25	$244.48	$288.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $257.23 / $461.27	Facility		$222.25	$257.23	$461.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $374.35 / $741.54	Facility		$209.67	$374.35	$741.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.12 / $374.35 / $425.40	Professional		$241.12	$374.35	$425.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.50 / $433.07 / $854.97	Facility		$257.50	$433.07	$854.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $367.55 / $367.55 / $367.55	Professional		$367.55	$367.55	$367.55
United Facility/Professional Professional Modifier Low / Median / High Price $251.14 / $266.70 / $266.70	Professional		$251.14	$266.70	$266.70