Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $296.32 / $512.17	Facility		$255.09	$296.32	$512.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $257.64 / $438.76	Professional		$256.08	$257.64	$438.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.59 / $421.83 / $498.04	Facility		$241.59	$421.83	$498.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $289.91	Professional		$256.08	$256.08	$289.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.87 / $560.12 / $684.99	Professional		$427.87	$560.12	$684.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $268.89 / $550.59	Facility		$255.09	$268.89	$550.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $271.45 / $332.92	Professional		$256.08	$271.45	$332.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.09 / $302.54 / $768.27	Facility		$255.09	$302.54	$768.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.08 / $284.93 / $491.30	Facility		$256.08	$284.93	$491.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $284.93 / $320.11	Professional		$256.08	$284.93	$320.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $215.41 / $366.98 / $829.91	Facility		$215.41	$366.98	$829.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $281.70	Professional		$256.08	$256.08	$281.70
United Facility/Professional Professional Modifier Low / Median / High Price $256.08 / $256.08 / $294.50	Professional		$256.08	$256.08	$294.50