Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.54 / $182.85 / $216.99	Facility		$145.54	$182.85	$216.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $118.33 / $401.00	Professional		$75.20	$118.33	$401.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $103.37 / $103.37	Facility		$103.37	$103.37	$103.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $174.92 / $252.49	Professional		$118.00	$174.92	$252.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.29 / $213.16 / $242.85	Professional		$179.29	$213.16	$242.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $164.50 / $243.14	Facility		$93.54	$164.50	$243.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $162.44 / $271.99	Professional		$146.77	$162.44	$271.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.54 / $172.19 / $184.92	Facility		$120.54	$172.19	$184.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $168.21 / $240.48	Facility		$94.73	$168.21	$240.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $201.48 / $257.45	Professional		$150.91	$201.48	$257.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $160.76 / $293.42 / $375.74	Facility		$160.76	$293.42	$375.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $192.47 / $252.05	Professional		$153.76	$192.47	$252.05
United Facility/Professional Professional Modifier Low / Median / High Price $94.55 / $178.15 / $270.79	Professional		$94.55	$178.15	$270.79