Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.84 / $152.84 / $171.46	Facility		$152.84	$152.84	$171.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $76.64 / $187.78	Professional		$48.45	$76.64	$187.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.71 / $188.71 / $188.71	Facility		$188.71	$188.71	$188.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.62 / $163.15 / $201.59	Professional		$125.62	$163.15	$201.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $155.97 / $167.15	Professional		$70.06	$155.97	$167.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.29 / $156.28 / $207.33	Facility		$109.29	$156.28	$207.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $121.52 / $210.08	Professional		$105.68	$121.52	$210.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.81 / $130.71 / $153.68	Facility		$99.81	$130.71	$153.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $182.29 / $235.75	Facility		$146.88	$182.29	$235.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $162.97 / $195.28	Professional		$105.45	$162.97	$195.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.09 / $168.20 / $193.29	Professional		$122.09	$168.20	$193.29
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $70.38 / $222.20	Professional		$66.56	$70.38	$222.20