Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.91 / $311.75 / $620.44	Facility		$205.91	$311.75	$620.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $102.34 / $213.94	Professional		$75.59	$102.34	$213.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.78 / $356.93 / $460.60	Facility		$231.78	$356.93	$460.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $166.95 / $280.11	Professional		$85.89	$166.95	$280.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $313.20 / $375.32	Professional		$142.63	$313.20	$375.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $192.55 / $427.45	Facility		$106.97	$192.55	$427.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $192.55	Professional		$142.63	$142.63	$192.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $149.76 / $314.86	Facility		$142.63	$149.76	$314.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.76 / $181.14 / $413.63	Facility		$149.76	$181.14	$413.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $171.16 / $213.95	Professional		$156.88	$171.16	$213.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $278.13 / $434.02 / $589.26	Facility		$278.13	$434.02	$589.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.97 / $280.37 / $448.70	Professional		$251.97	$280.37	$448.70
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $171.16	Professional		$59.90	$59.90	$171.16