Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.65 / $460.54 / $1,145.36	Facility		$186.65	$460.54	$1,145.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $65.65 / $219.32	Professional		$57.03	$65.65	$219.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.63 / $240.63 / $240.63	Facility		$240.63	$240.63	$240.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $222.81 / $353.36	Professional		$96.34	$222.81	$353.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.02 / $298.66 / $347.25	Professional		$262.02	$298.66	$347.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $158.10 / $326.26	Facility		$151.75	$158.10	$326.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.17 / $233.30 / $257.27	Facility		$167.17	$233.30	$257.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $158.10 / $326.26	Facility		$151.75	$158.10	$326.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $259.05 / $357.01	Professional		$106.88	$259.05	$357.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $176.72 / $282.83 / $361.95	Professional		$176.72	$282.83	$361.95
United Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $149.38 / $406.75	Professional		$79.50	$149.38	$406.75