Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $269.15 / $16,218.10	Facility		$229.09	$269.15	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $407.38	Professional		$229.09	$257.04	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $676.08	Professional		$257.04	$616.60	$676.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $501.19	Facility		$229.09	$331.13	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $436.52	Professional		$229.09	$275.42	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $537.03	Facility		$257.04	$257.04	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $758.58	Facility		$229.09	$331.13	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $251.19 / $549.54	Professional		$79.43	$251.19	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $1,023.29	Facility		$389.05	$562.34	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $288.40 / $309.03	Professional		$269.15	$288.40	$309.03