Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.74 / $266.74 / $465.45	Facility		$266.74	$266.74	$465.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $90.95 / $103.79	Professional		$77.04	$90.95	$103.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.88 / $173.88 / $310.89	Facility		$173.88	$173.88	$310.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $62.60 / $62.60	Professional		$62.60	$62.60	$62.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $235.09 / $281.69	Professional		$107.00	$235.09	$281.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.25 / $112.35 / $235.40	Facility		$80.25	$112.35	$235.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $117.70 / $149.80	Professional		$107.00	$117.70	$149.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.00 / $119.84 / $187.25	Facility		$107.00	$119.84	$187.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.79 / $141.78 / $259.79	Facility		$103.79	$141.78	$259.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $117.70 / $149.80	Professional		$117.70	$117.70	$149.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $325.60 / $420.07	Facility		$214.00	$325.60	$420.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $171.11 / $210.27 / $336.73	Professional		$171.11	$210.27	$336.73
United Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $112.35	Professional		$44.94	$44.94	$112.35