Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $246.92 / $1,074.09	Facility		$246.92	$246.92	$1,074.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.89 / $203.38 / $339.09	Professional		$176.89	$203.38	$339.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.25 / $650.03 / $717.44	Facility		$401.25	$650.03	$717.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $60.16 / $322.02	Professional		$59.04	$60.16	$322.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $601.86 / $649.36	Professional		$246.92	$601.86	$649.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.57 / $246.92 / $514.95	Facility		$142.57	$246.92	$514.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.23 / $271.61 / $335.81	Professional		$215.23	$271.61	$335.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $259.27 / $370.38	Facility		$246.92	$259.27	$370.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.30 / $327.17 / $716.07	Facility		$296.30	$327.17	$716.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $271.61 / $345.69	Professional		$177.56	$271.61	$345.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $481.49 / $751.38 / $1,020.13	Facility		$481.49	$751.38	$1,020.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $224.70 / $608.80	Professional		$161.41	$224.70	$608.80
United Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $103.71 / $296.30	Professional		$90.40	$103.71	$296.30