Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.74 / $258.36 / $864.52	Facility		$198.74	$258.36	$864.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.09 / $192.78 / $198.74	Professional		$143.09	$192.78	$198.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $523.17 / $577.42	Facility		$322.95	$523.17	$577.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $60.16 / $259.22	Professional		$59.04	$60.16	$259.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $484.33 / $522.54	Professional		$198.74	$484.33	$522.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.98 / $198.74 / $414.48	Facility		$109.98	$198.74	$414.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $198.74 / $270.29	Professional		$166.03	$198.74	$270.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $198.74 / $208.68 / $79,999.20	Facility		$198.74	$208.68	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.49 / $263.33 / $576.35	Facility		$238.49	$263.33	$576.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.97 / $218.61 / $278.24	Professional		$136.97	$218.61	$278.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $604.77 / $821.07	Facility		$387.54	$604.77	$821.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.52 / $180.85 / $489.84	Professional		$124.52	$180.85	$489.84
United Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $83.47 / $238.49	Professional		$69.73	$83.47	$238.49