Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.61 / $155.61 / $411.93	Facility		$155.61	$155.61	$411.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $263.56	Professional		$191.91	$191.92	$263.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.39 / $317.39 / $317.39	Facility		$317.39	$317.39	$317.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $354.40 / $424.68	Professional		$159.15	$354.40	$424.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.04 / $274.45 / $412.63	Facility		$187.04	$274.45	$412.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.92 / $203.43 / $249.50	Professional		$191.92	$203.43	$249.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $191.92 / $287.88	Facility		$148.19	$191.92	$287.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.87 / $274.45 / $478.16	Facility		$155.87	$274.45	$478.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $188.55 / $226.33	Professional		$155.87	$188.55	$226.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $232.56 / $581.51 / $615.73	Facility		$232.56	$581.51	$615.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.82 / $181.82 / $181.82	Professional		$181.82	$181.82	$181.82
United Facility/Professional Professional Modifier Low / Median / High Price $190.24 / $202.02 / $202.02	Professional		$190.24	$202.02	$202.02