Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $300.10 / $750.19	Facility		$135.80	$300.10	$750.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $266.30 / $266.30	Professional		$141.60	$266.30	$266.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.41 / $545.41 / $545.41	Facility		$545.41	$545.41	$545.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.67 / $489.85 / $1,226.39	Professional		$424.67	$489.85	$1,226.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $266.30 / $352.92 / $572.54	Facility		$266.30	$352.92	$572.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $304.80 / $474.36 / $790.60	Facility		$304.80	$474.36	$790.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.30 / $381.00 / $609.60	Facility		$266.30	$381.00	$609.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $381.00 / $533.40	Professional		$272.70	$381.00	$533.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $304.80 / $304.80 / $304.80	Professional		$304.80	$304.80	$304.80
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $307.48	Professional		$267.37	$267.37	$307.48