Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.09 / $426.40 / $718.38	Facility		$359.09	$426.40	$718.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.18 / $373.70 / $827.61	Professional		$359.18	$373.70	$827.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.86 / $491.18 / $705.12	Facility		$338.86	$491.18	$705.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $389.69	Professional		$359.19	$359.19	$389.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.02 / $788.34 / $913.22	Professional		$354.02	$788.34	$913.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $359.19 / $513.64 / $772.26	Facility		$359.19	$513.64	$772.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $380.74 / $466.95	Professional		$359.19	$380.74	$466.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $336.14 / $359.19 / $745.49	Facility		$336.14	$359.19	$745.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $340.37 / $373.08 / $656.00	Facility		$340.37	$373.08	$656.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $410.00 / $433.88	Professional		$359.19	$410.00	$433.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $321.37 / $402.84 / $968.22	Facility		$321.37	$402.84	$968.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19
United Facility/Professional Professional Modifier Low / Median / High Price $359.19 / $359.19 / $359.19	Professional		$359.19	$359.19	$359.19