Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $265.45 / $427.68	Facility		$212.36	$265.45	$427.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $215.98 / $293.66	Professional		$213.84	$215.98	$293.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $297.02 / $419.82	Facility		$201.74	$297.02	$419.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $232.00	Professional		$213.84	$213.84	$232.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.54 / $466.61 / $552.34	Professional		$209.54	$466.61	$552.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $305.79 / $459.76	Facility		$213.84	$305.79	$459.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $226.67 / $277.99	Professional		$213.84	$226.67	$277.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $265.45 / $637.08	Facility		$212.36	$265.45	$637.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.21 / $297.02 / $459.76	Facility		$211.21	$297.02	$459.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $252.18 / $262.36	Professional		$213.84	$252.18	$262.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $206.40 / $333.35 / $753.87	Facility		$206.40	$333.35	$753.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84