Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.29 / $184.77 / $356.80	Facility		$159.29	$184.77	$356.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $123.61 / $248.49	Professional		$98.99	$123.61	$248.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.08 / $318.89 / $399.83	Facility		$207.08	$318.89	$399.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $144.94 / $228.52	Professional		$111.69	$144.94	$228.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $279.82 / $335.32	Professional		$127.43	$279.82	$335.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.57 / $133.80 / $280.35	Facility		$95.57	$133.80	$280.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $127.43 / $172.03	Professional		$127.43	$127.43	$172.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $133.80 / $281.30	Facility		$127.43	$133.80	$281.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.80 / $161.19 / $369.55	Facility		$133.80	$161.19	$369.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $151.55 / $191.15	Professional		$140.16	$151.55	$191.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $248.49 / $387.77 / $526.46	Facility		$248.49	$387.77	$526.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $225.04 / $250.42 / $400.74	Professional		$225.04	$250.42	$400.74
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $63.65 / $152.91	Professional		$53.52	$63.65	$152.91