Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.27 / $285.27 / $497.77	Facility		$285.27	$285.27	$497.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.39 / $111.00 / $111.00	Professional		$82.39	$111.00	$111.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.95 / $297.77 / $332.48	Facility		$185.95	$297.77	$332.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $114.40 / $164.68	Professional		$66.94	$114.40	$164.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $279.23 / $301.27	Professional		$114.43	$279.23	$301.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $114.43 / $238.65	Facility		$69.00	$114.43	$238.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $125.87 / $164.78	Professional		$114.43	$125.87	$164.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $129.30 / $200.25	Facility		$114.43	$129.30	$200.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $131.59 / $278.05	Facility		$69.00	$131.59	$278.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $125.87 / $160.19	Professional		$108.71	$125.87	$160.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $223.14 / $348.21 / $449.24	Facility		$223.14	$348.21	$449.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $148.76 / $282.25	Professional		$102.54	$148.76	$282.25
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $137.32	Professional		$48.06	$48.06	$137.32