Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $169.82 / $380.19	Facility		$131.83	$169.82	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $288.40	Professional		$131.83	$154.88	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $288.40 / $338.84	Professional		$131.83	$288.40	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $141.25 / $165.96	Facility		$38.02	$141.25	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $234.42	Professional		$93.33	$141.25	$234.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $275.42	Facility		$134.90	$134.90	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $398.11	Facility		$123.03	$190.55	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $144.54	Professional		$79.43	$128.82	$144.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $524.81	Facility		$199.53	$295.12	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $141.25	Professional		$131.83	$141.25	$141.25