Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.25 / $341.53 / $728.82	Facility		$171.25	$341.53	$728.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $132.88 / $333.94	Professional		$45.00	$132.88	$333.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.63 / $342.84 / $398.05	Facility		$222.63	$342.84	$398.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $151.28 / $245.56	Professional		$120.26	$151.28	$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 / $143.85 / $302.43	Facility		$137.00	$143.85	$302.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.85 / $173.31 / $342.84	Facility		$143.85	$173.31	$342.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $150.69 / $197.28	Professional		$137.00	$150.69	$197.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $267.14 / $416.89 / $537.85	Facility		$267.14	$416.89	$537.85
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 / $164.40	Professional		$57.54	$57.54	$164.40