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 / $97.27 / $111.00	Professional		$82.39	$97.27	$111.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.95 / $286.36 / $332.48	Facility		$185.95	$286.36	$332.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $66.94 / $66.94	Professional		$66.94	$66.94	$66.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $251.41 / $301.27	Professional		$114.43	$251.41	$301.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $111.00 / $251.75	Facility		$85.82	$111.00	$251.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $160.19	Professional		$114.43	$114.43	$160.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $128.16 / $200.25	Facility		$114.43	$128.16	$200.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.00 / $151.62 / $286.36	Facility		$111.00	$151.62	$286.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $125.87 / $160.19	Professional		$120.15	$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 $183.03 / $225.25 / $360.24	Professional		$183.03	$225.25	$360.24
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $137.32	Professional		$48.06	$48.06	$137.32