Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.22 / $312.22 / $339.99	Facility		$312.22	$312.22	$339.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $184.54 / $369.37	Professional		$137.19	$184.54	$369.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.37 / $151.37 / $151.37	Facility		$151.37	$151.37	$151.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.07 / $304.81 / $410.09	Professional		$170.07	$304.81	$410.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.93 / $306.32 / $354.34	Professional		$234.93	$306.32	$354.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.90 / $239.32 / $381.86	Facility		$139.90	$239.32	$381.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.68 / $259.83 / $414.82	Professional		$208.68	$259.83	$414.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $258.45 / $294.44	Facility		$188.00	$258.45	$294.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $265.98 / $392.54	Facility		$143.50	$265.98	$392.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.96 / $302.57 / $396.89	Professional		$190.96	$302.57	$396.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.05 / $196.41 / $242.25	Facility		$155.05	$196.41	$242.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $292.58 / $393.21	Professional		$224.10	$292.58	$393.21
United Facility/Professional Professional Modifier Low / Median / High Price $211.23 / $295.39 / $437.40	Professional		$211.23	$295.39	$437.40