Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.13 / $255.87 / $414.26	Facility		$206.13	$255.87	$414.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $255.87	Professional		$207.13	$207.13	$255.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $347.94 / $410.08	Facility		$195.40	$347.94	$410.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $234.48	Professional		$207.13	$207.13	$234.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.44 / $452.40 / $553.03	Professional		$345.44	$452.40	$553.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.13 / $217.49 / $445.33	Facility		$206.13	$217.49	$445.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $219.55 / $269.27	Professional		$207.13	$219.55	$269.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $238.39 / $618.39	Facility		$206.12	$238.39	$618.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $246.03 / $445.33	Facility		$207.13	$246.03	$445.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $246.03 / $264.32	Professional		$207.13	$246.03	$264.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $183.98 / $275.97 / $720.16	Facility		$183.98	$275.97	$720.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $248.56	Professional		$207.13	$207.13	$248.56
United Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $238.20	Professional		$207.13	$207.13	$238.20