Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.01 / $303.89 / $530.30	Facility		$254.01	$303.89	$530.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.37 / $118.25 / $127.94	Professional		$108.37	$118.25	$127.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.10 / $198.10 / $354.20	Facility		$198.10	$198.10	$354.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $88.05 / $88.05	Professional		$88.05	$88.05	$88.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $267.75 / $320.86	Professional		$121.91	$267.75	$320.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.43 / $118.25 / $268.20	Facility		$91.43	$118.25	$268.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $134.10 / $170.67	Professional		$121.91	$134.10	$170.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $136.54 / $213.34	Facility		$121.91	$136.54	$213.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.29 / $161.53 / $320.92	Facility		$146.29	$161.53	$320.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $146.29 / $210.73	Professional		$134.10	$146.29	$210.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $243.82 / $370.97 / $478.61	Facility		$243.82	$370.97	$478.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $239.54 / $383.69	Professional		$194.94	$239.54	$383.69
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $51.20 / $146.29	Professional		$51.20	$51.20	$146.29