Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.32 / $127.32 / $127.32	Facility		$127.32	$127.32	$127.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.80 / $239.86 / $285.43	Professional		$188.80	$239.86	$285.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.70 / $501.70 / $501.70	Facility		$501.70	$501.70	$501.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Professional		$263.38	$263.38	$263.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $154.83 / $185.54	Professional		$69.53	$154.83	$185.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $295.64 / $515.70	Facility		$138.66	$295.64	$515.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $66.42 / $147.47	Professional		$66.41	$66.42	$147.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.22 / $144.02 / $146.06	Facility		$118.22	$144.02	$146.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $281.32 / $501.70	Facility		$138.66	$281.32	$501.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $173.31 / $263.38	Professional		$105.68	$173.31	$263.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.98 / $253.98 / $253.98	Professional		$253.98	$253.98	$253.98
United Facility/Professional Professional Modifier Low / Median / High Price $265.73 / $282.19 / $282.19	Professional		$265.73	$282.19	$282.19