Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.94 / $244.69 / $472.50	Facility		$210.94	$244.69	$472.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $143.44 / $329.06	Professional		$58.46	$143.44	$329.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.23 / $337.28 / $490.31	Facility		$274.23	$337.28	$490.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.11 / $186.24 / $302.54	Professional		$148.11	$186.24	$302.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $370.72 / $444.26	Professional		$168.75	$370.72	$444.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.56 / $177.19 / $371.25	Facility		$126.56	$177.19	$371.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $168.75 / $227.81	Professional		$168.75	$168.75	$227.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.75 / $177.19 / $372.52	Facility		$168.75	$177.19	$372.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.19 / $213.47 / $410.02	Facility		$177.19	$213.47	$410.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.11 / $185.63 / $243.00	Professional		$148.11	$185.63	$243.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $329.06 / $513.51 / $662.50	Facility		$329.06	$513.51	$662.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $332.08 / $530.77	Professional		$298.05	$332.08	$530.77
United Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $70.88 / $177.19	Professional		$70.88	$70.88	$177.19