Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.10 / $272.14 / $454.56	Facility		$227.10	$272.14	$454.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $340.65	Professional		$227.28	$227.28	$340.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $380.54 / $443.42	Facility		$214.41	$380.54	$443.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $257.29	Professional		$227.28	$227.28	$257.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.69 / $498.56 / $609.46	Professional		$380.69	$498.56	$609.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.58 / $227.28 / $480.75	Facility		$199.58	$227.28	$480.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $240.91 / $295.45	Professional		$227.28	$240.91	$295.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $227.10 / $257.29 / $681.84	Facility		$227.10	$257.29	$681.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $261.37 / $432.92	Facility		$214.41	$261.37	$432.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $261.68 / $289.35	Professional		$227.28	$261.68	$289.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $196.61 / $294.92 / $731.04	Facility		$196.61	$294.92	$731.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $272.74	Professional		$227.28	$227.28	$272.74
United Facility/Professional Facility Modifier Low / Median / High Price $465.92 / $465.92 / $545.47	Facility		$465.92	$465.92	$545.47
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $263.64	Professional		$227.28	$227.28	$263.64