Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.19 / $301.08 / $456.32	Facility		$155.19	$301.08	$456.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $115.72 / $371.00	Professional		$81.39	$115.72	$371.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $123.40 / $237.65	Facility		$80.84	$123.40	$237.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $214.60 / $349.75	Professional		$88.70	$214.60	$349.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.48 / $256.00 / $296.23	Professional		$215.48	$256.00	$296.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $371.00 / $530.53	Facility		$86.64	$371.00	$530.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $115.55 / $115.55	Professional		$115.55	$115.55	$115.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $215.48 / $221.77	Facility		$143.83	$215.48	$221.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.27 / $371.00 / $578.57	Facility		$83.27	$371.00	$578.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $239.62 / $365.87	Professional		$111.11	$239.62	$365.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.89 / $281.32 / $339.89	Facility		$201.89	$281.32	$339.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $197.51 / $232.48 / $312.68	Professional		$197.51	$232.48	$312.68