Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $245.47 / $245.47	Facility		$213.80	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $346.74	Professional		$125.89	$213.80	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $741.31	Professional		$562.34	$616.60	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $407.38 / $630.96	Facility		$194.98	$407.38	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $478.63 / $501.19	Professional		$234.42	$478.63	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $524.81 / $537.03	Facility		$436.52	$524.81	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $338.84 / $630.96	Facility		$186.21	$338.84	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $346.74 / $562.34	Professional		$79.43	$346.74	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $724.44 / $1,096.48	Facility		$398.11	$724.44	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $741.31	Professional		$562.34	$616.60	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $389.05	Facility		$229.09	$316.23	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $407.38	Professional		$158.49	$173.78	$407.38