Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $562.34	Facility		$239.88	$346.74	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $309.03	Professional		$239.88	$239.88	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $398.11 / $467.74	Facility		$229.09	$398.11	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $269.15	Professional		$239.88	$239.88	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $501.19 / $602.56	Professional		$239.88	$501.19	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $257.04 / $478.63	Facility		$239.88	$257.04	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $338.84	Professional		$239.88	$257.04	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $295.12 / $489.78	Facility		$234.42	$295.12	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $251.19 / $446.68	Facility		$239.88	$251.19	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $251.19 / $309.03	Professional		$79.43	$251.19	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $371.54 / $724.44	Facility		$213.80	$371.54	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $263.03	Professional		$239.88	$239.88	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $575.44	Facility		$239.88	$239.88	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $269.15	Professional		$239.88	$239.88	$269.15