Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.27 / $452.91 / $684.42	Facility		$318.27	$452.91	$684.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.96 / $224.18 / $534.05	Professional		$194.96	$224.18	$534.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $330.31 / $330.31	Facility		$330.31	$330.31	$330.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.47 / $416.78 / $568.28	Professional		$270.47	$416.78	$568.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.77 / $466.65 / $531.22	Professional		$387.77	$466.65	$531.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.96 / $276.02 / $519.58	Facility		$194.96	$276.02	$519.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $325.56 / $390.40 / $647.17	Professional		$325.56	$390.40	$647.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $267.49 / $399.70 / $416.74	Facility		$267.49	$399.70	$416.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.59 / $284.70 / $526.87	Facility		$200.59	$284.70	$526.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.14 / $453.50 / $564.88	Professional		$286.14	$453.50	$564.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $314.98 / $409.23 / $571.34	Professional		$314.98	$409.23	$571.34
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $450.15 / $647.16	Professional		$311.49	$450.15	$647.16