Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.33 / $304.48 / $543.19	Facility		$162.33	$304.48	$543.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $106.14 / $354.35	Professional		$92.40	$106.14	$354.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.93 / $312.50 / $362.83	Facility		$202.93	$312.50	$362.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $132.79 / $223.82	Professional		$58.11	$132.79	$223.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $274.14 / $328.52	Professional		$124.87	$274.14	$328.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $124.87 / $274.70	Facility		$93.65	$124.87	$274.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $124.87 / $174.82	Professional		$124.87	$124.87	$174.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $131.11 / $275.64	Facility		$124.87	$131.11	$275.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.87 / $157.96 / $312.50	Facility		$124.87	$157.96	$312.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $143.60 / $179.81	Professional		$131.66	$143.60	$179.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $243.50 / $379.98 / $515.89	Facility		$243.50	$379.98	$515.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $220.25 / $245.66 / $392.21	Professional		$220.25	$245.66	$392.21
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $52.45 / $131.11	Professional		$52.45	$52.45	$131.11