Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.21 / $219.06 / $244.26	Facility		$206.21	$219.06	$244.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $101.55 / $266.02	Professional		$64.93	$101.55	$266.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.92 / $636.79 / $835.09	Facility		$87.92	$636.79	$835.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.90 / $171.73 / $271.52	Professional		$85.90	$171.73	$271.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.84 / $224.79 / $261.33	Professional		$188.84	$224.79	$261.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.47 / $162.46 / $224.00	Facility		$81.47	$162.46	$224.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $161.88 / $296.85	Professional		$129.03	$161.88	$296.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.72 / $168.72 / $195.64	Facility		$111.72	$168.72	$195.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.17 / $201.45 / $299.33	Facility		$91.17	$201.45	$299.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $201.03 / $281.20	Professional		$138.06	$201.03	$281.20
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 $154.03 / $200.02 / $270.79	Professional		$154.03	$200.02	$270.79
United Facility/Professional Professional Modifier Low / Median / High Price $80.13 / $94.28 / $267.27	Professional		$80.13	$94.28	$267.27