Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.58 / $233.58 / $259.67	Facility		$233.58	$233.58	$259.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $126.47 / $233.58	Professional		$98.63	$126.47	$233.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $119.60 / $119.60	Facility		$119.60	$119.60	$119.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.78 / $219.40 / $298.33	Professional		$146.78	$219.40	$298.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.99 / $240.90 / $271.23	Professional		$184.99	$240.90	$271.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.59 / $139.36 / $266.27	Facility		$99.59	$139.36	$266.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.12 / $201.60 / $334.20	Professional		$168.12	$201.60	$334.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.24 / $206.28 / $213.73	Facility		$128.24	$206.28	$213.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.47 / $159.26 / $267.73	Facility		$104.47	$159.26	$267.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.79 / $228.72 / $289.10	Professional		$141.79	$228.72	$289.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.48 / $125.24 / $153.24	Facility		$95.48	$125.24	$153.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $160.06 / $207.95 / $295.62	Professional		$160.06	$207.95	$295.62
United Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $223.31 / $328.85	Professional		$162.69	$223.31	$328.85