Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $457.09 / $1,148.15	Facility		$181.97	$457.09	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $239.88	Professional		$57.54	$89.13	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $380.19	Professional		$169.82	$239.88	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $85.11 / $346.74	Professional		$38.02	$85.11	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $275.42 / $1,096.48	Facility		$128.82	$275.42	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $138.04	Professional		$60.26	$85.11	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $251.19 / $257.04	Facility		$177.83	$251.19	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $151.36 / $239.88	Facility		$47.86	$151.36	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $223.87 / $363.08	Professional		$79.43	$223.87	$363.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $338.84	Professional		$112.20	$239.88	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $331.13	Professional		$79.43	$123.03	$331.13