Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.14 / $416.21 / $502.87	Facility		$179.14	$416.21	$502.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $133.24 / $562.00	Professional		$89.12	$133.24	$562.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.35 / $223.86 / $304.19	Facility		$112.35	$223.86	$304.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $293.74 / $401.75	Professional		$146.49	$293.74	$401.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.62 / $300.22 / $365.61	Professional		$257.62	$300.22	$365.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.91 / $203.90 / $361.26	Facility		$119.91	$203.90	$361.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.54 / $230.72 / $418.86	Professional		$195.54	$230.72	$418.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.14 / $265.55 / $281.61	Facility		$175.14	$265.55	$281.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.19 / $320.60 / $394.79	Facility		$131.19	$320.60	$394.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $301.18 / $400.46	Professional		$244.20	$301.18	$400.46
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 $253.38 / $326.33 / $390.37	Professional		$253.38	$326.33	$390.37
United Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $162.58 / $436.74	Professional		$146.16	$162.58	$436.74