Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.19 / $187.53 / $362.12	Facility		$155.19	$187.53	$362.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $125.45 / $425.67	Professional		$93.87	$125.45	$425.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.15 / $323.63 / $375.75	Facility		$210.15	$323.63	$375.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $136.22 / $232.05	Professional		$50.62	$136.22	$232.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $315.51 / $340.42	Professional		$129.33	$315.51	$340.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $129.33 / $269.72	Facility		$66.59	$129.33	$269.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $129.33 / $161.66	Professional		$106.91	$129.33	$161.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $135.80 / $285.50	Facility		$129.33	$135.80	$285.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $155.19 / $281.94	Facility		$94.19	$155.19	$281.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $142.26 / $181.06	Professional		$101.46	$142.26	$181.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $252.19 / $393.55 / $529.87	Facility		$252.19	$393.55	$529.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.30 / $117.69 / $319.17	Professional		$80.30	$117.69	$319.17
United Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $54.32 / $155.19	Professional		$44.86	$54.32	$155.19