Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $407.38 / $741.31	Facility		$158.49	$407.38	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $257.04	Professional		$109.65	$138.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $524.81	Facility		$269.15	$436.52	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $354.81 / $426.58	Professional		$162.18	$354.81	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $229.09	Facility		$162.18	$162.18	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $229.09	Professional		$154.88	$181.97	$229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $181.97 / $288.40	Facility		$147.91	$181.97	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $229.09 / $478.63	Facility		$141.25	$229.09	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $245.47	Professional		$79.43	$181.97	$245.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $489.78 / $676.08	Facility		$245.47	$489.78	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $194.98	Professional		$131.83	$138.04	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Facility		$194.98	$194.98	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $194.98	Professional		$69.18	$85.11	$194.98