Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.33 / $84.09 / $96.63	Professional		$79.33	$84.09	$96.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $104.76 / $104.76	Facility		$104.76	$104.76	$104.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $147.75 / $438.09	Professional		$147.75	$147.75	$438.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.23 / $228.88 / $249.99	Professional		$193.23	$228.88	$249.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.33 / $96.63 / $209.16	Facility		$79.33	$96.63	$209.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $266.33 / $357.86	Facility		$141.19	$266.33	$357.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $96.63 / $209.16	Facility		$75.81	$96.63	$209.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $147.75 / $393.00	Professional		$118.69	$147.75	$393.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $956.13 / $1,254.79 / $1,456.92	Facility		$956.13	$1,254.79	$1,456.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.87 / $205.77 / $248.25	Professional		$141.87	$205.77	$248.25
United Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $114.48 / $289.89	Professional		$87.68	$114.48	$289.89