Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.07 / $166.77 / $280.85	Facility		$125.07	$166.77	$280.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $165.75 / $337.44	Professional		$124.31	$165.75	$337.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $280.49	Facility		$200.00	$200.00	$280.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.49 / $238.98 / $499.56	Professional		$100.49	$238.98	$499.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $349.48 / $460.46	Professional		$243.38	$349.48	$460.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.93 / $203.95 / $348.50	Facility		$156.93	$203.95	$348.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $281.89 / $465.13	Professional		$206.72	$281.89	$465.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.10 / $305.27 / $389.94	Facility		$200.10	$305.27	$389.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.93 / $198.92 / $348.50	Facility		$156.93	$198.92	$348.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.64 / $263.68 / $462.04	Professional		$167.64	$263.68	$462.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $116.80 / $116.80 / $116.80	Facility		$116.80	$116.80	$116.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $338.58 / $477.53	Professional		$224.10	$338.58	$477.53
United Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $256.06 / $500.84	Professional		$147.41	$256.06	$500.84