Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.20 / $321.20 / $321.20	Facility		$321.20	$321.20	$321.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $70.56 / $82.57	Professional		$67.84	$70.56	$82.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $114.62 / $338.32	Professional		$114.62	$114.62	$338.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.09 / $177.33 / $193.01	Professional		$155.09	$177.33	$193.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $82.57 / $160.19	Facility		$59.87	$82.57	$160.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $93.73 / $93.73	Professional		$93.73	$93.73	$93.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $73.95 / $146.06	Facility		$59.16	$73.95	$146.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.93 / $82.57 / $150.69	Facility		$63.93	$82.57	$150.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.32 / $139.28 / $161.90	Professional		$93.32	$139.28	$161.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.05 / $205.78 / $242.25	Facility		$155.05	$205.78	$242.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.51 / $158.59 / $205.61	Professional		$117.51	$158.59	$205.61
United Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $107.65 / $211.98	Professional		$74.15	$107.65	$211.98