Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.86 / $217.92 / $420.81	Facility		$187.86	$217.92	$420.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.27 / $143.00 / $293.07	Professional		$124.27	$143.00	$293.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.23 / $376.11 / $539.61	Facility		$244.23	$376.11	$539.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.11 / $195.41 / $294.88	Professional		$101.11	$195.41	$294.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $330.26 / $395.74	Professional		$150.29	$330.26	$395.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.26 / $278.88 / $501.32	Facility		$135.26	$278.88	$501.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $166.99 / $253.78	Professional		$150.29	$166.99	$253.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.29 / $180.35 / $331.77	Facility		$150.29	$180.35	$331.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.83 / $208.47 / $443.36	Facility		$172.83	$208.47	$443.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.32 / $190.12 / $240.47	Professional		$165.32	$190.12	$240.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $293.07 / $463.85 / $620.91	Facility		$293.07	$463.85	$620.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $265.73 / $295.33 / $473.22	Professional		$265.73	$295.33	$473.22
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $122.71 / $347.31	Professional		$90.17	$122.71	$347.31