Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.56 / $355.56 / $620.44	Facility		$355.56	$355.56	$620.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.69 / $121.24 / $138.35	Professional		$102.69	$121.24	$138.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.78 / $231.78 / $414.41	Facility		$231.78	$231.78	$414.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $114.10 / $114.10	Professional		$114.10	$114.10	$114.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $313.20 / $375.32	Professional		$142.63	$313.20	$375.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $138.35 / $313.79	Facility		$106.97	$138.35	$313.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $192.55	Professional		$142.63	$142.63	$192.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $159.75 / $249.60	Facility		$142.63	$159.75	$249.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.35 / $188.98 / $346.94	Facility		$138.35	$188.98	$346.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $156.88 / $199.68	Professional		$156.88	$156.88	$199.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $285.26 / $434.02 / $559.95	Facility		$285.26	$434.02	$559.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.97 / $280.37 / $448.70	Professional		$227.97	$280.37	$448.70
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $149.76	Professional		$59.90	$59.90	$149.76