Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $348.31 / $571.12	Facility		$132.91	$348.31	$571.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $81.48 / $132.91	Professional		$59.87	$81.48	$132.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.94 / $229.38 / $329.15	Facility		$148.94	$229.38	$329.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $119.14 / $164.49	Professional		$80.48	$119.14	$164.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $200.99 / $240.86	Professional		$91.66	$200.99	$240.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $96.24 / $201.65	Facility		$68.75	$96.24	$201.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $100.83 / $124.87	Professional		$91.66	$100.83	$124.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.66 / $96.24 / $202.34	Facility		$91.66	$96.24	$202.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.24 / $115.95 / $265.81	Facility		$96.24	$115.95	$265.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $112.93 / $146.66	Professional		$100.83	$112.93	$146.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $178.74 / $282.93 / $378.68	Facility		$178.74	$282.93	$378.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $180.33 / $287.77	Professional		$161.60	$180.33	$287.77
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $52.40 / $109.99	Professional		$38.50	$52.40	$109.99