Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.12 / $282.24 / $677.37	Facility		$158.12	$282.24	$677.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $117.98 / $176.36	Professional		$79.06	$117.98	$176.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $304.38 / $434.16	Facility		$197.65	$304.38	$434.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $158.22 / $238.35	Professional		$77.08	$158.22	$238.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $267.04 / $320.00	Professional		$121.63	$267.04	$320.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.22 / $127.71 / $267.58	Facility		$91.22	$127.71	$267.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $133.79 / $165.68	Professional		$121.63	$133.79	$165.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $127.71 / $268.50	Facility		$121.63	$127.71	$268.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.71 / $153.86 / $352.73	Facility		$127.71	$153.86	$352.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $145.96 / $194.60	Professional		$133.79	$145.96	$194.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $237.18 / $375.40 / $502.50	Facility		$237.18	$375.40	$502.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $214.86 / $238.86 / $382.62	Professional		$214.86	$238.86	$382.62
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $69.59 / $145.96	Professional		$51.08	$69.59	$145.96