Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.94 / $459.93 / $516.15	Facility		$450.94	$459.93	$516.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.12 / $225.82 / $323.62	Professional		$190.12	$225.82	$323.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $329.30 / $329.30	Facility		$329.30	$329.30	$329.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.62 / $420.40 / $571.62	Professional		$272.62	$420.40	$571.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.71 / $465.32 / $529.70	Professional		$386.71	$465.32	$529.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.18 / $277.94 / $517.91	Facility		$196.18	$277.94	$517.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.51 / $389.12 / $645.08	Professional		$324.51	$389.12	$645.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $267.91 / $404.68 / $416.74	Facility		$267.91	$404.68	$416.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.31 / $284.04 / $525.16	Facility		$200.31	$284.04	$525.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.12 / $452.70 / $568.05	Professional		$287.12	$452.70	$568.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $407.90 / $570.63	Professional		$313.95	$407.90	$570.63
United Facility/Professional Professional Modifier Low / Median / High Price $311.51 / $459.04 / $645.04	Professional		$311.51	$459.04	$645.04