Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.29 / $230.00 / $405.55	Facility		$188.29	$230.00	$405.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $118.16 / $275.20	Professional		$86.58	$118.16	$275.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.38 / $362.48 / $520.01	Facility		$235.38	$362.48	$520.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $188.58 / $259.66	Professional		$127.00	$188.58	$259.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $318.17 / $381.29	Professional		$144.84	$318.17	$381.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.63 / $152.08 / $318.64	Facility		$108.63	$152.08	$318.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $159.32 / $197.30	Professional		$144.84	$159.32	$197.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $152.08 / $319.73	Facility		$144.84	$152.08	$319.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $183.22 / $420.04	Facility		$152.08	$183.22	$420.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.32 / $175.26 / $231.74	Professional		$159.32	$175.26	$231.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $282.44 / $447.03 / $598.39	Facility		$282.44	$447.03	$598.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.56 / $285.13 / $455.10	Professional		$255.56	$285.13	$455.10
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $82.78 / $173.81	Professional		$60.83	$82.78	$173.81