Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $371.54	Facility		$154.88	$302.00	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $302.00	Professional		$79.43	$114.82	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $239.88	Facility		$81.28	$81.28	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $363.08	Professional		$100.00	$134.90	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $295.12	Professional		$218.78	$239.88	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $147.91 / $446.68	Facility		$95.50	$147.91	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $363.08	Professional		$81.28	$114.82	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $223.87	Facility		$151.36	$213.80	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $169.82 / $446.68	Facility		$100.00	$169.82	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $323.59	Professional		$79.43	$114.82	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $354.81	Facility		$204.17	$281.84	$354.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $281.84	Professional		$151.36	$218.78	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $323.59 / $426.58	Facility		$263.03	$323.59	$426.58