Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.89 / $385.73 / $486.40	Facility		$260.89	$385.73	$486.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $213.58 / $498.92	Professional		$159.00	$213.58	$498.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.63 / $197.63 / $197.63	Facility		$197.63	$197.63	$197.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.79 / $380.54 / $548.22	Professional		$214.79	$380.54	$548.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.92 / $363.80 / $406.74	Professional		$268.92	$363.80	$406.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.90 / $342.24 / $526.59	Facility		$201.90	$342.24	$526.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.93 / $353.40 / $548.51	Professional		$275.93	$353.40	$548.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.95 / $338.39 / $384.58	Facility		$256.95	$338.39	$384.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $175.24 / $399.70 / $526.59	Facility		$175.24	$399.70	$526.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.06 / $405.23 / $504.24	Professional		$291.06	$405.23	$504.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $300.11 / $422.25 / $546.76	Professional		$300.11	$422.25	$546.76
United Facility/Professional Professional Modifier Low / Median / High Price $224.14 / $379.33 / $545.78	Professional		$224.14	$379.33	$545.78