Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $457.09 / $630.96	Facility		$218.78	$457.09	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $660.69	Professional		$141.25	$218.78	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $107.15	Facility		$50.12	$75.86	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $616.60	Professional		$208.93	$371.54	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $478.63 / $575.44	Professional		$239.88	$478.63	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $251.19 / $467.74	Facility		$158.49	$251.19	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $549.54	Professional		$251.19	$371.54	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $380.19 / $457.09	Facility		$316.23	$380.19	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $223.87 / $436.52	Facility		$107.15	$223.87	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $338.84 / $562.34	Professional		$79.43	$338.84	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $933.25	Facility		$338.84	$512.86	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $602.56	Professional		$229.09	$426.58	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $363.08	Facility		$251.19	$251.19	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $562.34	Professional		$239.88	$354.81	$562.34