Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.81 / $289.08 / $680.20	Facility		$187.81	$289.08	$680.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $282.27 / $483.02	Professional		$282.27	$282.27	$483.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.59 / $220.59 / $660.78	Facility		$220.59	$220.59	$660.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $410.22	Professional		$410.22	$410.22	$410.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $175.52 / $374.11 / $606.90	Facility		$175.52	$374.11	$606.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.23 / $194.22 / $373.50	Professional		$165.23	$194.22	$373.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $242.34 / $282.08 / $79,999.20	Facility		$242.34	$282.08	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.33 / $302.92 / $473.33	Facility		$189.33	$302.92	$473.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.87 / $199.89 / $373.65	Professional		$166.87	$199.89	$373.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $174.69 / $273.14 / $549.89	Facility		$174.69	$273.14	$549.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $82.60 / $82.60	Professional		$82.60	$82.60	$82.60
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $283.42	Professional		$283.42	$283.42	$283.42