Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $177.83	Professional		$87.10	$120.23	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $229.09	Professional		$77.62	$128.82	$229.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $331.13	Professional		$117.49	$199.53	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $245.47	Facility		$117.49	$117.49	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $162.18	Professional		$104.71	$128.82	$162.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $190.55	Facility		$117.49	$117.49	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $162.18 / $257.04	Facility		$104.71	$162.18	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $181.97	Professional		$87.10	$128.82	$181.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $407.38	Facility		$234.42	$234.42	$407.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $141.25	Professional		$91.20	$100.00	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $363.08	Professional		$69.18	$117.49	$363.08