Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.91 / $399.99 / $506.30	Facility		$345.91	$399.99	$506.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $178.40 / $399.99	Professional		$147.65	$178.40	$399.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.18 / $257.18 / $257.18	Facility		$257.18	$257.18	$257.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.44 / $316.43 / $433.29	Professional		$205.44	$316.43	$433.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.81 / $363.23 / $413.49	Professional		$301.81	$363.23	$413.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.90 / $208.86 / $394.25	Facility		$149.90	$208.86	$394.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $253.52 / $304.00 / $503.97	Professional		$253.52	$304.00	$503.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $305.14 / $322.94	Facility		$193.76	$305.14	$322.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.74 / $216.30 / $399.87	Facility		$152.74	$216.30	$399.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.25 / $346.38 / $431.30	Professional		$218.25	$346.38	$431.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.06 / $310.58 / $435.85	Professional		$239.06	$310.58	$435.85
United Facility/Professional Professional Modifier Low / Median / High Price $237.19 / $341.93 / $490.68	Professional		$237.19	$341.93	$490.68