Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.19 / $281.49 / $450.22	Facility		$225.19	$281.49	$450.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $227.44 / $387.33	Professional		$225.11	$227.44	$387.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $312.14 / $440.64	Facility		$212.37	$312.14	$440.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $244.22	Professional		$225.11	$225.11	$244.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.98 / $494.31 / $580.44	Professional		$221.98	$494.31	$580.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $321.91 / $483.99	Facility		$225.11	$321.91	$483.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $238.61 / $292.64	Professional		$225.11	$238.61	$292.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $281.39 / $468.23	Facility		$225.11	$281.39	$468.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $239.32 / $321.91	Facility		$229.09	$239.32	$321.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $265.45 / $277.08	Professional		$225.11	$265.45	$277.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $258.88 / $654.97	Facility		$225.11	$258.88	$654.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11