Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.10 / $411.38 / $658.10	Facility		$329.10	$411.38	$658.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $332.34 / $415.35	Professional		$329.05	$332.34	$415.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.43 / $450.02 / $637.70	Facility		$310.43	$450.02	$637.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $356.99	Professional		$329.05	$329.05	$356.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.36 / $722.29 / $836.71	Professional		$324.36	$722.29	$836.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $470.54 / $707.46	Facility		$329.05	$470.54	$707.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $348.80 / $427.77	Professional		$329.05	$348.80	$427.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $318.49 / $329.10 / $682.94	Facility		$318.49	$329.10	$682.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $450.02 / $707.46	Facility		$329.05	$450.02	$707.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $388.04 / $399.38	Professional		$329.05	$388.04	$399.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $305.49 / $509.58 / $1,165.08	Facility		$305.49	$509.58	$1,165.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
United Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05