Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.65 / $218.74 / $377.52	Facility		$188.65	$218.74	$377.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $190.53 / $235.95	Professional		$188.76	$190.53	$235.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.08 / $308.83 / $377.30	Facility		$178.08	$308.83	$377.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $188.76 / $213.69	Professional		$188.76	$188.76	$213.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.92 / $410.84 / $493.73	Professional		$298.92	$410.84	$493.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.65 / $198.20 / $405.83	Facility		$188.65	$198.20	$405.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $200.09 / $245.39	Professional		$188.76	$200.09	$245.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.95 / $188.76 / $391.53	Facility		$174.95	$188.76	$391.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $210.33 / $405.83	Facility		$188.76	$210.33	$405.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.09 / $210.33 / $236.01	Professional		$185.09	$210.33	$236.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.94 / $233.93 / $591.86	Facility		$155.94	$233.93	$591.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $188.76 / $226.51	Professional		$188.76	$188.76	$226.51
United Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $188.76 / $217.07	Professional		$188.76	$188.76	$217.07