Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $251.19 / $354.81	Facility		$134.90	$251.19	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $234.42	Professional		$95.50	$120.23	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $107.15	Facility		$50.12	$75.86	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $288.40	Professional		$104.71	$173.78	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $263.03	Professional		$158.49	$213.80	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $131.83 / $245.47	Facility		$95.50	$131.83	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $181.97 / $245.47	Professional		$112.20	$181.97	$245.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $208.93 / $208.93	Facility		$151.36	$208.93	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $134.90 / $239.88	Facility		$87.10	$134.90	$239.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $257.04	Professional		$79.43	$151.36	$257.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $275.42 / $416.87	Facility		$154.88	$275.42	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $269.15	Professional		$120.23	$194.98	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $165.96	Facility		$112.20	$112.20	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $281.84	Professional		$117.49	$194.98	$281.84