Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $457.09	Facility		$194.98	$275.42	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $363.08	Professional		$194.98	$199.53	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $309.03 / $380.19	Facility		$186.21	$309.03	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $223.87	Professional		$194.98	$194.98	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $398.11 / $478.63	Professional		$194.98	$398.11	$478.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $208.93 / $389.05	Facility		$194.98	$208.93	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $302.00	Professional		$194.98	$204.17	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $190.55 / $302.00	Facility		$173.78	$190.55	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $363.08	Facility		$194.98	$204.17	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $251.19	Professional		$79.43	$194.98	$251.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $524.81	Facility		$154.88	$302.00	$524.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $275.42	Professional		$186.21	$194.98	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $467.74	Facility		$194.98	$194.98	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $218.78	Professional		$194.98	$194.98	$218.78