Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $302.13 / $532.61	Facility		$173.64	$302.13	$532.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $238.46 / $532.61	Professional		$191.00	$238.46	$532.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.96 / $291.20 / $433.57	Facility		$224.96	$291.20	$433.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $269.95	Professional		$238.46	$238.46	$269.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.22 / $414.61 / $671.50	Professional		$291.22	$414.61	$671.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $246.83 / $990.00	Facility		$173.64	$246.83	$990.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $252.76 / $310.00	Professional		$238.46	$252.76	$310.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $262.31 / $1,065.16	Facility		$173.64	$262.31	$1,065.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.96 / $262.31 / $990.00	Facility		$224.96	$262.31	$990.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $413.59 / $561.29	Professional		$238.46	$413.59	$561.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $605.09 / $1,141.25 / $5,490.32	Facility		$605.09	$1,141.25	$5,490.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $262.31	Professional		$238.46	$238.46	$262.31
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $274.23	Professional		$238.46	$238.46	$274.23