Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.63 / $416.70 / $506.94	Facility		$358.63	$416.70	$506.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.43 / $237.63 / $609.51	Professional		$158.43	$237.63	$609.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.63 / $63.63 / $63.63	Professional	25	$63.63	$63.63	$63.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.33 / $257.33 / $257.33	Facility		$257.33	$257.33	$257.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.11 / $437.82 / $718.99	Professional		$251.11	$437.82	$718.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $365.99 / $494.25 / $675.15	Professional		$365.99	$494.25	$675.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.94 / $342.67 / $693.05	Facility		$209.94	$342.67	$693.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.88 / $439.25 / $692.89	Professional		$306.88	$439.25	$692.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.44 / $492.45 / $548.73	Facility		$288.44	$492.45	$548.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.14 / $349.06 / $693.05	Facility		$217.14	$349.06	$693.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.73 / $491.69 / $694.10	Professional		$342.73	$491.69	$694.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $221.37 / $277.02 / $324.48	Facility		$221.37	$277.02	$324.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $320.86 / $471.54 / $712.43	Professional		$320.86	$471.54	$712.43
United Facility/Professional Professional Modifier Low / Median / High Price $352.79 / $492.45 / $792.63	Professional		$352.79	$492.45	$792.63