Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.19 / $216.00 / $323.01	Facility		$144.19	$216.00	$323.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $160.30 / $741.77	Professional		$98.08	$160.30	$741.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.45 / $288.67 / $414.20	Facility		$187.45	$288.67	$414.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.25 / $150.26 / $206.79	Professional		$79.25	$150.26	$206.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $281.60 / $303.83	Professional		$115.36	$281.60	$303.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.69 / $121.13 / $374.30	Facility		$95.69	$121.13	$374.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $128.16 / $163.38	Professional		$115.36	$128.16	$163.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $121.13 / $254.66	Facility		$115.36	$121.13	$254.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $139.59 / $334.54	Facility		$104.58	$139.59	$334.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $139.59 / $184.56	Professional		$115.36	$139.59	$184.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $224.95 / $356.05 / $476.60	Facility		$224.95	$356.05	$476.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $214.20 / $306.88	Professional		$104.98	$214.20	$306.88
United Facility/Professional Facility Modifier Low / Median / High Price $74.34 / $74.34 / $115.36	Facility		$74.34	$74.34	$115.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $65.93 / $161.50	Professional		$48.45	$65.93	$161.50