Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.37 / $153.90 / $297.19	Facility		$127.37	$153.90	$297.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $102.96 / $349.30	Professional		$77.02	$102.96	$349.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.48 / $265.61 / $308.39	Facility		$172.48	$265.61	$308.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $111.93 / $190.34	Professional		$46.18	$111.93	$190.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $258.72 / $279.14	Professional		$106.14	$258.72	$279.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $106.14 / $221.36	Facility		$62.97	$106.14	$221.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $106.14 / $133.10	Professional		$88.50	$106.14	$133.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.14 / $119.93 / $234.30	Facility		$106.14	$119.93	$234.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.30 / $127.37 / $279.41	Facility		$77.30	$127.37	$279.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.24 / $116.75 / $148.60	Professional		$83.24	$116.75	$148.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $206.97 / $322.98 / $434.66	Facility		$206.97	$322.98	$434.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $96.59 / $261.74	Professional		$65.88	$96.59	$261.74
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $44.58 / $127.37	Professional		$36.79	$44.58	$127.37