Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $241.87 / $241.87	Facility		$241.87	$241.87	$241.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $272.52	Professional		$245.30	$245.30	$272.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.42 / $343.49 / $494.04	Facility		$231.42	$343.49	$494.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $289.27	Professional		$245.30	$245.30	$289.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.63 / $561.02 / $694.73	Professional		$405.63	$561.02	$694.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $245.30 / $527.40	Facility		$241.87	$245.30	$527.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $260.02 / $314.27	Professional		$245.30	$260.02	$314.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $245.30 / $509.12	Facility		$241.87	$245.30	$509.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $303.41 / $524.94	Facility		$245.30	$303.41	$524.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $303.41 / $307.91	Professional		$245.30	$303.41	$307.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $233.04 / $245.30 / $245.30	Professional		$233.04	$245.30	$245.30
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $282.10	Professional		$245.30	$245.30	$282.10