Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.26 / $282.88 / $460.30	Facility		$230.26	$282.88	$460.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $232.46 / $400.65	Professional		$230.15	$232.46	$400.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $316.31 / $445.68	Facility		$217.13	$316.31	$445.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $249.70	Professional		$230.15	$230.15	$249.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.08 / $505.67 / $588.10	Professional		$227.08	$505.67	$588.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $295.14 / $494.82	Facility		$192.00	$295.14	$494.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $243.96 / $299.20	Professional		$230.15	$243.96	$299.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $264.89 / $478.71	Facility		$230.15	$264.89	$478.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.81 / $242.50 / $329.11	Facility		$225.81	$242.50	$329.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.46 / $249.70 / $279.39	Professional		$172.46	$249.70	$279.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $239.69 / $635.78	Facility		$230.15	$239.69	$635.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15