Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.96 / $291.20 / $476.86	Facility		$181.96	$291.20	$476.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.79 / $129.59 / $172.33	Professional		$110.79	$129.59	$172.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.93 / $314.04 / $447.53	Facility		$203.93	$314.04	$447.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $162.02 / $246.06	Professional		$83.85	$162.02	$246.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $275.57 / $330.21	Professional		$125.49	$275.57	$330.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.94 / $231.30 / $415.83	Facility		$112.94	$231.30	$415.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.49 / $138.49 / $210.48	Professional		$125.49	$138.49	$210.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.49 / $138.04 / $292.13	Facility		$125.49	$138.04	$292.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.31 / $174.07 / $370.20	Facility		$144.31	$174.07	$370.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.74 / $199.43	Professional		$138.04	$158.74	$199.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $244.71 / $384.70 / $518.45	Facility		$244.71	$384.70	$518.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $221.45 / $247.02 / $394.35	Professional		$221.45	$247.02	$394.35
United Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $101.77 / $290.00	Professional		$75.29	$101.77	$290.00