Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.50 / $209.69 / $497.63	Facility		$172.50	$209.69	$497.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.01 / $130.96 / $209.69	Professional		$107.01	$130.96	$209.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $361.90 / $447.53	Facility		$235.00	$361.90	$447.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $162.02 / $283.95	Professional		$83.85	$162.02	$283.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $317.45 / $380.43	Professional		$144.61	$317.45	$380.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.15 / $231.30 / $415.83	Facility		$130.15	$231.30	$415.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $171.33 / $210.48	Professional		$144.61	$171.33	$210.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $159.07 / $319.23	Facility		$144.61	$159.07	$319.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.30 / $195.22 / $415.83	Facility		$166.30	$195.22	$415.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.07 / $171.33 / $227.20	Professional		$159.07	$171.33	$227.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $281.99 / $440.05 / $597.44	Facility		$281.99	$440.05	$597.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.56 / $284.45 / $455.10	Professional		$255.56	$284.45	$455.10
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $101.77 / $317.77	Professional		$86.77	$101.77	$317.77