Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.32 / $328.74 / $589.38	Facility		$194.32	$328.74	$589.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.93 / $294.69 / $334.23	Professional		$187.93	$294.69	$334.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.01 / $259.01 / $568.67	Facility		$259.01	$259.01	$568.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $319.70	Professional		$294.69	$294.69	$319.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.68 / $426.84 / $494.46	Professional		$191.68	$426.84	$494.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $421.41 / $660.00	Facility		$4.42	$421.41	$660.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $312.37 / $383.10	Professional		$20.37	$312.37	$383.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.32 / $305.81 / $963.27	Facility		$194.32	$305.81	$963.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.01 / $421.41 / $682.59	Facility		$259.01	$421.41	$682.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $319.70 / $682.59	Professional		$17.00	$319.70	$682.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $412.74 / $660.38 / $1,565.07	Facility		$412.74	$660.38	$1,565.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69