Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $288.40	Facility		$173.78	$218.78	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $309.03	Professional		$81.28	$112.20	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $302.00 / $371.54	Facility		$81.28	$302.00	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $204.17 / $316.23	Professional		$91.20	$204.17	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $288.40	Professional		$204.17	$229.09	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $147.91 / $234.42	Facility		$89.13	$147.91	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $316.23	Professional		$128.82	$204.17	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $213.80	Facility		$151.36	$199.53	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $162.18 / $269.15	Facility		$100.00	$162.18	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $309.03	Professional		$165.96	$218.78	$309.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $371.54 / $467.74	Facility		$295.12	$371.54	$467.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $281.84	Professional		$186.21	$218.78	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $389.05 / $512.86	Facility		$316.23	$389.05	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $281.84	Professional		$85.11	$112.20	$281.84