Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.63 / $190.90 / $207.04	Facility		$179.63	$190.90	$207.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $92.88 / $223.51	Professional		$56.25	$92.88	$223.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $636.79 / $835.09	Facility		$64.80	$636.79	$835.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $157.90 / $236.53	Professional		$88.56	$157.90	$236.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.78 / $190.83 / $220.55	Professional		$160.78	$190.83	$220.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.06 / $149.03 / $199.75	Facility		$76.06	$149.03	$199.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.40 / $142.07 / $258.89	Professional		$120.40	$142.07	$258.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.50 / $152.62 / $171.36	Facility		$109.50	$152.62	$171.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.14 / $193.65 / $258.49	Facility		$89.14	$193.65	$258.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $177.41 / $240.56	Professional		$122.00	$177.41	$240.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $656.85 / $782.93 / $962.78	Facility		$656.85	$782.93	$962.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.25 / $172.36 / $236.12	Professional		$137.25	$172.36	$236.12
United Facility/Professional Professional Modifier Low / Median / High Price $81.11 / $93.28 / $236.71	Professional		$81.11	$93.28	$236.71