Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.82 / $300.07 / $487.42	Facility		$243.82	$300.07	$487.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $246.15 / $334.68	Professional		$243.71	$246.15	$334.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.92 / $407.66 / $480.28	Facility		$229.92	$407.66	$480.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $275.89	Professional		$243.71	$243.71	$275.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.59 / $535.28 / $638.54	Professional		$386.59	$535.28	$638.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $255.90 / $523.98	Facility		$243.71	$255.90	$523.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $258.33 / $316.82	Professional		$243.71	$258.33	$316.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $236.47 / $243.71 / $505.82	Facility		$236.47	$243.71	$505.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $268.08 / $523.98	Facility		$243.71	$268.08	$523.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $288.52 / $310.39	Professional		$243.71	$288.52	$310.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $220.43 / $366.49 / $828.82	Facility		$220.43	$366.49	$828.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $268.08	Professional		$243.71	$243.71	$268.08
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $280.27	Professional		$243.71	$243.71	$280.27