Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.20 / $269.31 / $424.17	Facility		$212.20	$269.31	$424.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $212.20 / $6,810.48	Professional		$203.58	$212.20	$6,810.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $370.82 / $409.18	Facility		$192.06	$370.82	$409.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $220.87	Professional		$203.58	$203.58	$220.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $465.90 / $574.48	Professional		$203.58	$465.90	$574.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $263.24 / $437.70	Facility		$170.00	$263.24	$437.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $215.80 / $264.64	Professional		$203.58	$215.80	$264.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $254.48 / $610.74	Facility		$203.58	$254.48	$610.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.97 / $233.13 / $370.82	Facility		$214.97	$233.13	$370.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $227.68 / $272.95	Professional		$161.46	$227.68	$272.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $207.51 / $344.77 / $760.12	Facility		$207.51	$344.77	$760.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $226.63	Professional		$203.58	$203.58	$226.63