Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $281.23 / $487.22	Facility		$243.15	$281.23	$487.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $246.04 / $423.08	Professional		$243.61	$246.04	$423.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.82 / $333.89 / $471.54	Facility		$229.82	$333.89	$471.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $264.29	Professional		$243.61	$243.61	$264.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.71 / $526.44 / $620.41	Professional		$182.71	$526.44	$620.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $243.61 / $348.36	Facility		$18.69	$243.61	$348.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $258.22 / $304.51	Professional		$243.61	$258.22	$304.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $303.94 / $729.45	Facility		$243.15	$303.94	$729.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.04 / $283.50 / $471.54	Facility		$225.04	$283.50	$471.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $283.50 / $294.94	Professional		$243.61	$283.50	$294.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $332.94 / $674.68	Facility		$5.45	$332.94	$674.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $231.43 / $243.61 / $280.14	Professional		$231.43	$243.61	$280.14
United Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $280.14	Professional		$243.61	$243.61	$280.14