Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.03 / $468.03 / $519.36	Facility		$468.03	$468.03	$519.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $206.58 / $468.03	Professional		$156.87	$206.58	$468.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.61 / $233.61 / $233.61	Facility		$233.61	$233.61	$233.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.55 / $443.66 / $610.67	Professional		$246.55	$443.66	$610.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.09 / $490.36 / $564.79	Professional		$376.09	$490.36	$564.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $205.41 / $309.60 / $530.37	Facility		$205.41	$309.60	$530.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.64 / $373.24 / $610.02	Professional		$240.64	$373.24	$610.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $247.63 / $391.18 / $416.53	Facility		$247.63	$391.18	$416.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.35 / $326.20 / $533.74	Facility		$206.35	$326.20	$533.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.36 / $443.66 / $584.00	Professional		$271.36	$443.66	$584.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $496.95 / $618.64	Facility		$389.95	$496.95	$618.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $319.08 / $430.50 / $589.35	Professional		$319.08	$430.50	$589.35
United Facility/Professional Facility Modifier Low / Median / High Price $475.58 / $475.58 / $587.62	Facility		$475.58	$475.58	$587.62
United Facility/Professional Professional Modifier Low / Median / High Price $307.02 / $421.40 / $644.40	Professional		$307.02	$421.40	$644.40