Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $264.98 / $434.18	Facility		$217.09	$264.98	$434.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $264.98	Professional		$217.09	$217.09	$264.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $364.68 / $429.52	Facility		$204.80	$364.68	$429.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $245.76	Professional		$217.09	$217.09	$245.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $344.04 / $476.36 / $568.26	Professional		$344.04	$476.36	$568.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $466.74	Facility		$217.09	$217.09	$466.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $230.11 / $282.22	Professional		$217.09	$230.11	$282.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $214.56 / $217.09 / $450.56	Facility		$214.56	$217.09	$450.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $238.80 / $410.63	Facility		$217.09	$238.80	$410.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $254.79 / $276.48	Professional		$217.09	$254.79	$276.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $198.86 / $329.19 / $744.45	Facility		$198.86	$329.19	$744.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $238.80	Professional		$217.09	$217.09	$238.80
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $249.65	Professional		$217.09	$217.09	$249.65