Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $616.60	Facility		$169.82	$208.93	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $251.19	Professional		$89.13	$114.82	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $398.11	Facility		$223.87	$223.87	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $147.91 / $245.47	Professional		$63.10	$147.91	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $295.12 / $363.08	Professional		$138.04	$295.12	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $165.96	Facility		$138.04	$138.04	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $190.55	Professional		$131.83	$151.36	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $204.17	Facility		$138.04	$138.04	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $398.11	Facility		$123.03	$190.55	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $199.53	Professional		$79.43	$151.36	$199.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $407.38 / $562.34	Facility		$204.17	$407.38	$562.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $165.96	Professional		$109.65	$117.49	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $218.78	Facility		$165.96	$165.96	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $165.96	Professional		$57.54	$57.54	$165.96