Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.74 / $380.02 / $424.84	Facility		$268.74	$380.02	$424.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $133.08 / $201.07	Professional		$104.29	$133.08	$201.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.16 / $224.16 / $224.16	Facility		$224.16	$224.16	$224.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $213.01 / $355.80	Professional		$109.00	$213.01	$355.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.51 / $278.67 / $363.63	Professional		$198.51	$278.67	$363.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.62 / $175.09 / $308.76	Facility		$126.62	$175.09	$308.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.29 / $244.98 / $375.12	Professional		$166.29	$244.98	$375.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.43 / $247.90 / $294.80	Facility		$173.43	$247.90	$294.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.50 / $170.24 / $312.48	Facility		$128.50	$170.24	$312.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $220.48 / $347.16	Professional		$127.00	$220.48	$347.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $111.04 / $111.04	Facility		$111.04	$111.04	$111.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.18 / $189.30 / $327.51	Professional		$140.18	$189.30	$327.51
United Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $163.21 / $341.11	Professional		$105.98	$163.21	$341.11