Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.05 / $298.29 / $334.99	Facility		$293.05	$298.29	$334.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.04 / $144.78 / $241.41	Professional		$126.04	$144.78	$241.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.92 / $214.92 / $214.92	Facility		$214.92	$214.92	$214.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $269.27 / $370.76	Professional		$174.72	$269.27	$370.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.03 / $303.35 / $345.32	Professional		$252.03	$303.35	$345.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $179.84 / $336.15	Facility		$126.98	$179.84	$336.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.89 / $254.08 / $421.22	Professional		$211.89	$254.08	$421.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.67 / $255.27 / $270.68	Facility		$173.67	$255.27	$270.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.22 / $184.19 / $340.67	Facility		$130.22	$184.19	$340.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $293.86 / $365.38	Professional		$184.79	$293.86	$365.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.66 / $264.60 / $370.12	Professional		$203.66	$264.60	$370.12
United Facility/Professional Professional Modifier Low / Median / High Price $202.07 / $290.82 / $411.29	Professional		$202.07	$290.82	$411.29