Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $870.96 / $1,122.02	Facility		$186.21	$870.96	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $234.42	Professional		$134.90	$173.78	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $724.44	Facility		$398.11	$398.11	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $245.47 / $354.81	Professional		$120.23	$245.47	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $537.03 / $630.96	Professional		$245.47	$537.03	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $269.15	Facility		$245.47	$245.47	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $338.84	Professional		$204.17	$269.15	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $269.15 / $371.54	Facility		$223.87	$269.15	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $281.84 / $616.60	Facility		$186.21	$281.84	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $269.15	Professional		$79.43	$213.80	$269.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $575.44 / $794.33	Facility		$380.19	$575.44	$794.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $295.12	Professional		$169.82	$208.93	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $398.11	Facility		$295.12	$295.12	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $234.42	Professional		$81.28	$87.10	$234.42