Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.41 / $158.24 / $474.72	Facility		$136.41	$158.24	$474.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $97.01 / $212.80	Professional		$69.41	$97.01	$212.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.33 / $273.08 / $391.83	Facility		$177.33	$273.08	$391.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $141.91 / $195.62	Professional		$95.78	$141.91	$195.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $239.34 / $286.82	Professional		$109.13	$239.34	$286.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $114.59 / $240.09	Facility		$81.84	$114.59	$240.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $120.04 / $148.66	Professional		$109.13	$120.04	$148.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.13 / $114.59 / $240.90	Facility		$109.13	$114.59	$240.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.59 / $138.05 / $316.48	Facility		$114.59	$138.05	$316.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $132.05 / $174.61	Professional		$120.04	$132.05	$174.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $212.80 / $336.83 / $450.86	Facility		$212.80	$336.83	$450.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $192.72 / $214.36 / $343.19	Professional		$192.72	$214.36	$343.19
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $45.83 / $130.96	Professional		$45.83	$45.83	$130.96