Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $204.17 / $257.04	Facility		$138.04	$204.17	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $239.88	Professional		$64.57	$93.33	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $645.65 / $831.76	Facility		$87.10	$645.65	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $177.83 / $275.42	Professional		$83.18	$177.83	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $263.03	Professional		$194.98	$218.78	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $138.04 / $208.93	Facility		$79.43	$138.04	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $281.84	Professional		$120.23	$190.55	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $194.98	Facility		$120.23	$173.78	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $138.04 / $239.88	Facility		$85.11	$138.04	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $281.84	Professional		$138.04	$190.55	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $954.99	Facility		$660.69	$776.25	$954.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $257.04	Professional		$151.36	$194.98	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $1,174.90	Facility		$724.44	$891.25	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $257.04	Professional		$79.43	$100.00	$257.04