Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.28 / $255.06 / $409.22	Facility		$205.28	$255.06	$409.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $248.39 / $1,454.18	Professional		$204.61	$248.39	$1,454.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $290.88 / $410.48	Facility		$193.03	$290.88	$410.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $221.98	Professional		$204.61	$204.61	$221.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.46 / $442.79 / $540.44	Professional		$153.46	$442.79	$540.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $257.81 / $292.58	Facility		$204.61	$257.81	$292.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $223.02 / $265.99	Professional		$204.61	$223.02	$265.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $255.76 / $613.83	Facility		$204.61	$255.76	$613.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.36 / $257.81 / $411.38	Facility		$195.36	$257.81	$411.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.84 / $256.95 / $265.80	Professional		$214.84	$256.95	$265.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $328.90 / $747.55	Facility		$200.20	$328.90	$747.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $235.30	Professional		$204.61	$204.61	$235.30
United Facility/Professional Professional Modifier Low / Median / High Price $200.12 / $204.61 / $235.30	Professional		$200.12	$204.61	$235.30