Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $147.91 / $257.04	Facility		$138.04	$147.91	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $177.83	Professional		$138.04	$138.04	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $208.93 / $338.84	Facility		$128.82	$208.93	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $288.40 / $346.74	Professional		$134.90	$288.40	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $275.42	Facility		$138.04	$144.54	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $213.80	Professional		$138.04	$151.36	$213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $134.90 / $251.19	Facility		$131.83	$134.90	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $208.93 / $436.52	Facility		$138.04	$208.93	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $177.83	Professional		$79.43	$147.91	$177.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $229.09 / $446.68	Facility		$138.04	$229.09	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $331.13	Facility		$138.04	$138.04	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $199.53	Professional		$154.88	$165.96	$199.53