Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $331.13	Professional		$109.65	$144.54	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $251.19	Professional		$77.62	$134.90	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $407.38	Professional		$151.36	$251.19	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $190.55 / $371.54	Facility		$102.33	$190.55	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $436.52	Professional		$165.96	$275.42	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $354.81	Facility		$257.04	$309.03	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $380.19	Facility		$123.03	$194.98	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $257.04 / $426.58	Professional		$79.43	$257.04	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $676.08	Facility		$645.65	$645.65	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $446.68	Professional		$186.21	$288.40	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $354.81	Professional		$91.20	$151.36	$354.81