Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $363.08 / $602.56	Facility		$251.19	$363.08	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $331.13	Professional		$251.19	$251.19	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $416.87 / $489.78	Facility		$239.88	$416.87	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $288.40	Professional		$251.19	$251.19	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $537.03 / $630.96	Professional		$251.19	$537.03	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $269.15 / $501.19	Facility		$251.19	$269.15	$501.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $354.81	Professional		$239.88	$269.15	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $309.03 / $512.86	Facility		$251.19	$309.03	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $263.03 / $467.74	Facility		$251.19	$263.03	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $323.59	Professional		$79.43	$263.03	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $380.19 / $741.31	Facility		$213.80	$380.19	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $281.84	Professional		$251.19	$251.19	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $602.56	Facility		$251.19	$251.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $281.84	Professional		$251.19	$251.19	$281.84