Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.72 / $159.72 / $304.18	Facility		$159.72	$159.72	$304.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $368.79	Professional		$164.42	$164.42	$368.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.40 / $418.40 / $418.40	Facility		$418.40	$418.40	$418.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Professional		$219.62	$219.62	$219.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.02 / $360.79 / $417.95	Professional		$162.02	$360.79	$417.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $235.12 / $353.50	Facility		$164.42	$235.12	$353.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $174.29 / $17,150.38	Professional		$143.13	$174.29	$17,150.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.15 / $174.29 / $341.25	Facility		$158.15	$174.29	$341.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $254.83 / $468.12	Facility		$164.42	$254.83	$468.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $205.47 / $246.49	Professional		$178.39	$205.47	$246.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.32 / $462.99 / $620.73	Facility		$239.32	$462.99	$620.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $201.60 / $201.60	Professional		$201.60	$201.60	$201.60
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $197.30 / $197.30	Professional		$164.42	$197.30	$197.30