Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $141.52 / $251.92	Professional		$112.85	$141.52	$251.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.20 / $209.20 / $209.20	Facility		$209.20	$209.20	$209.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $159.93 / $251.84	Professional		$77.17	$159.93	$251.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.75 / $285.57 / $409.30	Professional		$149.75	$285.57	$409.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $171.17 / $451.52	Facility		$103.02	$171.17	$451.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.42 / $296.01 / $468.66	Professional		$212.42	$296.01	$468.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $310.18 / $357.11	Facility		$188.00	$310.18	$357.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.85 / $303.52 / $414.39	Facility		$130.85	$303.52	$414.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.99 / $295.04 / $414.39	Professional		$160.99	$295.04	$414.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $610.29 / $610.29 / $613.76	Facility		$610.29	$610.29	$613.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $246.96 / $305.95 / $475.66	Professional		$246.96	$305.95	$475.66
United Facility/Professional Professional Modifier Low / Median / High Price $92.47 / $107.40 / $358.00	Professional		$92.47	$107.40	$358.00