Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $285.45 / $383.60	Facility		$171.25	$285.45	$383.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $116.45 / $334.77	Professional		$39.31	$116.45	$334.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.63 / $222.63 / $398.05	Facility		$222.63	$222.63	$398.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $145.77 / $245.56	Professional		$63.75	$145.77	$245.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $301.13 / $360.87	Professional		$137.00	$301.13	$360.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $143.85 / $301.39	Facility		$102.75	$143.85	$301.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $184.95	Professional		$137.00	$137.00	$184.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $271.08	Facility		$137.00	$137.00	$271.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.85 / $173.31 / $332.83	Facility		$143.85	$173.31	$332.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $157.55 / $197.28	Professional		$144.19	$157.55	$197.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $267.14 / $416.89 / $566.00	Facility		$267.14	$416.89	$566.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $241.79 / $269.48 / $430.58	Professional		$241.79	$269.48	$430.58
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $137.00	Professional		$57.54	$57.54	$137.00