Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.11 / $182.11 / $215.19	Facility		$182.11	$182.11	$215.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $90.19 / $276.38	Professional		$55.67	$90.19	$276.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.29 / $223.86 / $304.19	Facility		$59.29	$223.86	$304.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $169.47 / $241.58	Professional		$86.15	$169.47	$241.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.36 / $188.05 / $228.08	Professional		$161.36	$188.05	$228.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $141.83 / $197.20	Facility		$80.30	$141.83	$197.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $141.12 / $260.25	Professional		$122.27	$141.12	$260.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.04 / $153.87 / $172.19	Facility		$108.04	$153.87	$172.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.04 / $191.73 / $256.23	Facility		$95.04	$191.73	$256.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $182.25 / $243.21	Professional		$133.34	$182.25	$243.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.89 / $281.32 / $339.90	Facility		$201.89	$281.32	$339.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $201.30 / $242.56	Professional		$147.62	$201.30	$242.56
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $89.06 / $247.24	Professional		$80.84	$89.06	$247.24