Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $147.11 / $259.14	Professional		$94.55	$147.11	$259.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.78 / $97.78 / $97.78	Facility		$97.78	$97.78	$97.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $138.40 / $213.12	Professional		$98.78	$138.40	$213.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $282.47 / $402.62	Professional		$136.37	$282.47	$402.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.61 / $184.10 / $490.68	Facility		$96.61	$184.10	$490.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.37 / $262.77 / $629.13	Professional		$227.37	$262.77	$629.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $195.25 / $253.93 / $329.64	Facility		$195.25	$253.93	$329.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.86 / $336.97 / $398.72	Facility		$121.86	$336.97	$398.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.40 / $276.67 / $377.76	Professional		$138.40	$276.67	$377.76
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 $250.77 / $281.05 / $446.57	Professional		$250.77	$281.05	$446.57
United Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $149.09 / $441.63	Professional		$84.02	$149.09	$441.63