Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.26 / $234.73 / $453.26	Facility		$194.26	$234.73	$453.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $157.02 / $390.85	Professional		$86.17	$157.02	$390.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.05 / $405.10 / $470.33	Facility		$263.05	$405.10	$470.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $170.75 / $290.20	Professional		$48.66	$170.75	$290.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $394.40 / $425.54	Professional		$161.88	$394.40	$425.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.94 / $161.88 / $337.59	Facility		$80.94	$161.88	$337.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $161.88 / $194.26	Professional		$99.00	$161.88	$194.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.69 / $169.97 / $357.35	Facility		$145.69	$169.97	$357.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.90 / $194.26 / $352.90	Facility		$117.90	$194.26	$352.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.14 / $178.07 / $226.63	Professional		$93.14	$178.07	$226.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $315.67 / $486.40 / $635.52	Facility		$315.67	$486.40	$635.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $147.31 / $398.76	Professional		$73.72	$147.31	$398.76
United Facility/Professional Professional Modifier Low / Median / High Price $41.18 / $67.98 / $194.26	Professional		$41.18	$67.98	$194.26