Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.02 / $207.81 / $260.07	Facility		$147.02	$207.81	$260.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $135.83 / $260.07	Professional		$95.48	$135.83	$260.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $100.00 / $108.00	Facility		$50.00	$100.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $193.09 / $301.30	Professional		$114.56	$193.09	$301.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.38 / $230.28 / $264.83	Professional		$197.38	$230.28	$264.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.58 / $142.13 / $250.04	Facility		$84.58	$142.13	$250.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $176.61 / $237.16	Professional		$113.03	$176.61	$237.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $204.36 / $209.04	Facility		$145.41	$204.36	$209.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.58 / $146.02 / $264.29	Facility		$84.58	$146.02	$264.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.61 / $194.95 / $275.83	Professional		$125.61	$194.95	$275.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $189.01 / $283.70 / $405.11	Facility		$189.01	$283.70	$405.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $177.74 / $285.20	Professional		$119.00	$177.74	$285.20
United Facility/Professional Professional Modifier Low / Median / High Price $134.16 / $203.29 / $303.07	Professional		$134.16	$203.29	$303.07