Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.46 / $144.46 / $241.72	Facility		$144.46	$144.46	$241.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $312.02	Professional		$134.19	$134.19	$312.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $207.05 / $337.24	Facility		$126.60	$207.05	$337.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Professional		$177.04	$177.04	$177.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.85 / $286.93 / $384.70	Professional		$128.85	$286.93	$384.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $191.89 / $288.51	Facility		$134.19	$191.89	$288.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $147.61 / $174.45	Professional		$134.19	$147.61	$174.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $143.77 / $271.19	Facility		$130.66	$143.77	$271.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $207.05 / $337.24	Facility		$126.60	$207.05	$337.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.59 / $165.61 / $233.15	Professional		$145.59	$165.61	$233.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.87 / $220.84 / $499.42	Facility		$138.87	$220.84	$499.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.72 / $170.72 / $170.72	Professional		$170.72	$170.72	$170.72
United Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $161.03 / $161.03	Professional		$151.63	$161.03	$161.03