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 / $111.00 / $111.00	Professional		$82.39	$111.00	$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 $114.40 / $131.75 / $164.68	Professional		$114.40	$131.75	$164.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $279.23 / $301.27	Professional		$114.43	$279.23	$301.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $114.43 / $238.65	Facility		$59.50	$114.43	$238.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $154.47	Professional		$114.43	$114.43	$154.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.99 / $114.43 / $160.19	Facility		$102.99	$114.43	$160.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $114.43 / $286.36	Facility		$59.50	$114.43	$286.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $125.87 / $160.19	Professional		$108.71	$125.87	$160.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $308.26 / $370.52 / $449.22	Facility		$308.26	$370.52	$449.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.54 / $136.72 / $282.25	Professional		$102.54	$136.72	$282.25
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $137.32	Professional		$48.06	$48.06	$137.32