Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.52 / $323.14 / $517.28	Facility		$258.52	$323.14	$517.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $263.81 / $375.02	Professional		$258.63	$263.81	$375.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $422.71 / $497.86	Facility		$244.00	$422.71	$497.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $292.80	Professional		$258.64	$258.64	$292.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.30 / $567.23 / $693.67	Professional		$433.30	$567.23	$693.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.07 / $258.64 / $547.09	Facility		$216.07	$258.64	$547.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $274.16 / $336.23	Professional		$258.64	$274.16	$336.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.51 / $292.80 / $775.92	Facility		$258.51	$292.80	$775.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $277.64 / $489.06	Facility		$248.93	$277.64	$489.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.81 / $277.64 / $321.12	Professional		$245.81	$277.64	$321.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $205.56 / $308.33 / $718.71	Facility		$205.56	$308.33	$718.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $310.37	Professional		$258.64	$258.64	$310.37
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $300.02	Professional		$258.64	$258.64	$300.02