Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.38 / $334.38 / $583.47	Facility		$334.38	$334.38	$583.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.57 / $114.01 / $130.11	Professional		$96.57	$114.01	$130.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.95 / $217.95 / $389.69	Facility		$217.95	$217.95	$389.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $107.30 / $107.30	Professional		$107.30	$107.30	$107.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $294.74 / $353.19	Professional		$134.13	$294.74	$353.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $130.11 / $295.08	Facility		$100.60	$130.11	$295.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $134.13 / $181.08	Professional		$134.13	$134.13	$181.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $150.22 / $234.73	Facility		$134.13	$150.22	$234.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $177.72 / $327.02	Facility		$130.11	$177.72	$327.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.54 / $147.54 / $187.78	Professional		$147.54	$147.54	$187.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $268.26 / $408.16 / $526.58	Facility		$268.26	$408.16	$526.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $214.43 / $264.02 / $422.06	Professional		$214.43	$264.02	$422.06
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $134.13	Professional		$56.33	$56.33	$134.13