Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.56 / $323.73 / $515.60	Facility		$217.56	$323.73	$515.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $217.56 / $855.00	Professional		$136.96	$217.56	$855.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $100.00 / $108.00	Facility		$50.00	$100.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.13 / $369.92 / $632.63	Professional		$215.13	$369.92	$632.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.62 / $506.41 / $586.85	Professional		$423.62	$506.41	$586.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.98 / $239.32 / $470.61	Facility		$115.98	$239.32	$470.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $368.79 / $545.36	Professional		$279.39	$368.79	$545.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $268.89 / $376.20 / $458.28	Facility		$268.89	$376.20	$458.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $537.21 / $582.65	Facility		$75.00	$537.21	$582.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $414.78 / $601.10	Professional		$244.20	$414.78	$601.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $337.49 / $610.29 / $893.89	Facility		$337.49	$610.29	$893.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $262.33 / $386.46 / $617.75	Professional		$262.33	$386.46	$617.75
United Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $370.75 / $653.46	Professional		$258.24	$370.75	$653.46