Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $227.79 / $495.51	Facility		$156.88	$227.79	$495.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $104.96 / $519.00	Professional		$83.89	$104.96	$519.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $223.86 / $304.19	Facility		$78.75	$223.86	$304.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $217.61 / $294.02	Professional		$117.36	$217.61	$294.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.02 / $221.44 / $269.02	Professional		$190.02	$221.44	$269.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.56 / $181.25 / $267.26	Facility		$94.56	$181.25	$267.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $177.00 / $309.06	Professional		$155.50	$177.00	$309.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $195.87 / $209.44	Facility		$144.00	$195.87	$209.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.62 / $242.97 / $290.02	Facility		$111.62	$242.97	$290.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.18 / $221.26 / $292.60	Professional		$178.18	$221.26	$292.60
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 $185.11 / $239.74 / $288.04	Professional		$185.11	$239.74	$288.04
United Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $112.47 / $314.95	Professional		$107.19	$112.47	$314.95