Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.26 / $667.14 / $1,669.46	Facility		$330.26	$667.14	$1,669.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $377.56 / $753.00	Professional		$313.68	$377.56	$753.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $463.83 / $927.16	Facility		$295.92	$463.83	$927.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $486.76	Professional		$486.76	$486.76	$486.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.77 / $685.35 / $862.14	Professional		$307.77	$685.35	$862.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $448.56 / $674.41	Facility		$313.68	$448.56	$674.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $345.05 / $407.78	Professional		$171.04	$345.05	$407.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $294.37 / $338.49 / $647.61	Facility		$294.37	$338.49	$647.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $463.83 / $927.16	Facility		$295.92	$463.83	$927.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $455.30 / $517.39	Professional		$340.31	$455.30	$517.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $291.79 / $532.92 / $1,205.22	Facility		$291.79	$532.92	$1,205.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $469.38 / $469.38 / $469.38	Professional		$469.38	$469.38	$469.38
United Facility/Professional Facility Modifier Low / Median / High Price $421.24 / $421.24 / $421.24	Facility		$421.24	$421.24	$421.24
United Facility/Professional Professional Modifier Low / Median / High Price $385.21 / $409.07 / $529.09	Professional		$385.21	$409.07	$529.09