Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.83 / $293.00 / $380.41	Facility		$169.83	$293.00	$380.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $157.13 / $197.00	Professional		$98.21	$157.13	$197.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.78 / $357.66 / $487.82	Facility		$220.78	$357.66	$487.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $156.11 / $243.79	Professional		$97.50	$156.11	$243.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $331.29 / $357.46	Professional		$135.86	$331.29	$357.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.54 / $135.86 / $408.74	Facility		$100.54	$135.86	$408.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $156.24 / $186.75	Professional		$135.86	$156.24	$186.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $149.44 / $299.91	Facility		$135.86	$149.44	$299.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.25 / $163.03 / $393.99	Facility		$103.25	$163.03	$393.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $163.03 / $222.43	Professional		$135.86	$163.03	$222.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $264.93 / $419.33 / $561.29	Facility		$264.93	$419.33	$561.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.66 / $173.19 / $334.76	Professional		$121.66	$173.19	$334.76
United Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $57.06 / $163.03	Professional		$57.06	$57.06	$163.03