Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $167.08 / $202.14	Facility		$77.09	$167.08	$202.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.78 / $134.83 / $209.41	Professional		$125.78	$134.83	$209.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.64 / $296.64 / $296.64	Facility		$296.64	$296.64	$296.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $166.90 / $199.99	Professional		$74.95	$166.90	$199.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.83 / $174.48 / $289.88	Facility		$134.83	$174.48	$289.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.03 / $132.43 / $132.43	Professional		$132.03	$132.43	$132.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.25 / $155.25 / $157.44	Facility		$129.25	$155.25	$157.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.54 / $192.81 / $373.55	Facility		$133.54	$192.81	$373.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $148.32 / $198.05	Professional		$114.31	$148.32	$198.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $142.76 / $142.76	Professional		$142.76	$142.76	$142.76
United Facility/Professional Professional Modifier Low / Median / High Price $149.65 / $158.62 / $158.91	Professional		$149.65	$158.62	$158.91