Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.12 / $153.12 / $288.89	Facility		$153.12	$153.12	$288.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $365.83	Professional		$162.97	$162.97	$365.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $254.63 / $395.74	Facility		$153.75	$254.63	$395.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.05 / $343.04 / $397.38	Professional		$154.05	$343.04	$397.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $233.06 / $350.41	Facility		$162.97	$233.06	$350.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $172.76 / $211.87	Professional		$158.94	$172.76	$211.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.59 / $169.13 / $324.11	Facility		$143.59	$169.13	$324.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $233.20 / $395.74	Facility		$153.75	$233.20	$395.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $186.87 / $247.19	Professional		$172.78	$186.87	$247.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.80 / $190.80 / $190.80	Professional		$190.80	$190.80	$190.80
United Facility/Professional Professional Modifier Low / Median / High Price $184.17 / $195.58 / $218.36	Professional		$184.17	$195.58	$218.36