Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $279.26 / $487.29	Facility		$279.26	$279.26	$487.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $108.66 / $108.66	Professional		$80.65	$108.66	$108.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $280.32 / $325.45	Facility		$182.03	$280.32	$325.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $128.44 / $160.55	Professional		$111.98	$128.44	$160.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $272.92 / $294.48	Professional		$112.02	$272.92	$294.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.25 / $112.02 / $233.62	Facility		$58.25	$112.02	$233.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $112.02 / $151.22	Professional		$112.02	$112.02	$151.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $123.22 / $196.04	Facility		$112.02	$123.22	$196.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $325.45	Facility		$134.41	$134.41	$325.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.42 / $123.22 / $156.83	Professional		$106.42	$123.22	$156.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $224.04 / $362.72 / $439.76	Facility		$224.04	$362.72	$439.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $133.63 / $276.51	Professional		$100.22	$133.63	$276.51
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $47.05 / $134.41	Professional		$47.05	$47.05	$134.41