Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $288.39 / $473.24	Facility		$236.62	$288.39	$473.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $238.98 / $406.98	Professional		$236.62	$238.98	$406.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $395.86 / $466.24	Facility		$223.22	$395.86	$466.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $267.87	Professional		$236.62	$236.62	$267.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.96 / $519.87 / $635.49	Professional		$396.96	$519.87	$635.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $248.45 / $508.73	Facility		$236.62	$248.45	$508.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $250.81 / $307.61	Professional		$236.62	$250.81	$307.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $236.61 / $295.77 / $709.86	Facility		$236.61	$295.77	$709.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $277.30 / $481.10	Facility		$236.62	$277.30	$481.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $277.30 / $301.35	Professional		$236.62	$277.30	$301.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $214.28 / $358.27 / $810.23	Facility		$214.28	$358.27	$810.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $260.27	Professional		$236.62	$236.62	$260.27
United Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $272.11	Professional		$236.62	$236.62	$272.11