Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $254.72 / $433.80	Facility		$216.74	$254.72	$433.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $262.69	Professional		$216.90	$216.90	$262.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $360.20 / $424.00	Facility		$204.63	$360.20	$424.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $245.55	Professional		$216.90	$216.90	$245.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.53 / $474.56 / $567.41	Professional		$343.53	$474.56	$567.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $227.75 / $466.34	Facility		$216.74	$227.75	$466.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $229.92 / $281.97	Professional		$216.90	$229.92	$281.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.41 / $216.90 / $449.84	Facility		$206.41	$216.90	$449.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $244.93 / $466.34	Facility		$216.90	$244.93	$466.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $245.55 / $276.25	Professional		$216.90	$245.55	$276.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $188.30 / $317.27 / $717.49	Facility		$188.30	$317.27	$717.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $238.59	Professional		$216.90	$216.90	$238.59
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $249.44	Professional		$216.90	$216.90	$249.44