Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $870.96	Facility		$371.54	$524.81	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $912.01	Professional		$371.54	$389.05	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $489.78 / $707.95	Facility		$346.74	$489.78	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $398.11	Professional		$371.54	$371.54	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $776.25 / $912.01	Professional		$354.81	$776.25	$912.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $389.05 / $741.31	Facility		$371.54	$389.05	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $478.63	Professional		$371.54	$389.05	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $363.08 / $602.56	Facility		$338.84	$363.08	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $380.19 / $691.83	Facility		$371.54	$380.19	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $371.54 / $436.52	Professional		$79.43	$371.54	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $407.38 / $977.24	Facility		$323.59	$407.38	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $891.25	Facility		$371.54	$371.54	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54