Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $251.19 / $602.56	Facility		$245.47	$251.19	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $295.12	Professional		$239.88	$245.47	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $263.03 / $501.19	Facility		$257.04	$263.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $208.93	Professional		$151.36	$173.78	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $338.84 / $645.65	Facility		$245.47	$338.84	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $524.81	Professional		$239.88	$338.84	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $288.40 / $371.54	Facility		$239.88	$288.40	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $309.03 / $446.68	Professional		$79.43	$309.03	$446.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $380.19 / $741.31	Facility		$218.78	$380.19	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04