Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.49 / $421.26 / $496.90	Facility		$328.49	$421.26	$496.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $186.00 / $343.48	Professional		$152.08	$186.00	$343.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.88 / $348.88 / $348.88	Facility		$348.88	$348.88	$348.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.10 / $389.92 / $451.67	Professional		$175.10	$389.92	$451.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $253.91 / $381.75	Facility		$177.56	$253.91	$381.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $195.31 / $17,728.12	Professional		$177.56	$195.31	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $177.56 / $335.59	Facility		$168.30	$177.56	$335.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.66 / $253.91 / $498.17	Facility		$154.66	$253.91	$498.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $175.75 / $209.38	Professional		$162.38	$175.75	$209.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $222.76 / $473.16 / $661.21	Facility		$222.76	$473.16	$661.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $168.21 / $168.21	Professional		$168.21	$168.21	$168.21
United Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $186.90 / $186.90	Professional		$176.00	$186.90	$186.90