Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $316.23 / $524.81	Facility		$223.87	$316.23	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $288.40	Professional		$223.87	$223.87	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $363.08 / $426.58	Facility		$208.93	$363.08	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $251.19	Professional		$223.87	$223.87	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $467.74 / $562.34	Professional		$223.87	$467.74	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $234.42 / $416.87	Facility		$223.87	$234.42	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $309.03	Professional		$218.78	$234.42	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $218.78 / $346.74	Facility		$213.80	$218.78	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $229.09 / $407.38	Facility		$223.87	$229.09	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $234.42 / $281.84	Professional		$79.43	$234.42	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $346.74 / $660.69	Facility		$199.53	$346.74	$660.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $245.47	Professional		$223.87	$223.87	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $251.19	Professional		$223.87	$223.87	$251.19