Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $182.77 / $241.93	Facility		$174.10	$182.77	$241.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.22 / $112.04 / $289.92	Professional		$82.22	$112.04	$289.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $301.52 / $367.38	Facility		$81.52	$301.52	$367.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $200.18 / $295.91	Professional		$96.24	$200.18	$295.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.34 / $250.95 / $289.95	Professional		$211.34	$250.95	$289.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.18 / $186.77 / $275.48	Facility		$91.18	$186.77	$275.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $181.70 / $328.38	Professional		$153.78	$181.70	$328.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.30 / $194.30 / $215.74	Facility		$132.30	$194.30	$215.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $236.30 / $319.49	Facility		$109.16	$236.30	$319.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.40 / $229.60 / $305.58	Professional		$159.40	$229.60	$305.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $312.19 / $372.00 / $463.05	Facility		$312.19	$372.00	$463.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.32 / $223.79 / $293.87	Professional		$193.32	$223.79	$293.87
United Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $119.79 / $299.74	Professional		$95.94	$119.79	$299.74