Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.13 / $226.40 / $263.87	Facility		$224.13	$226.40	$263.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $116.70 / $170.45	Professional		$94.84	$116.70	$170.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.13 / $171.13 / $171.13	Facility		$171.13	$171.13	$171.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.35 / $206.25 / $281.52	Professional		$132.35	$206.25	$281.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.77 / $241.59 / $275.02	Professional		$200.77	$241.59	$275.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.51 / $134.77 / $254.52	Facility		$97.51	$134.77	$254.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $201.96 / $335.25	Professional		$168.65	$201.96	$335.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $198.32 / $213.06	Facility		$137.72	$198.32	$213.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.91 / $140.22 / $257.43	Facility		$99.91	$140.22	$257.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.65 / $224.09 / $279.30	Professional		$140.65	$224.09	$279.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $199.95 / $281.41	Professional		$155.72	$199.95	$281.41
United Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $211.67 / $316.20	Professional		$138.66	$211.67	$316.20