Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.86 / $284.86 / $306.89	Facility		$284.86	$284.86	$306.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $141.40 / $327.31	Professional		$118.56	$141.40	$327.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.69 / $144.69 / $144.69	Facility		$144.69	$144.69	$144.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $268.88 / $373.41	Professional		$152.77	$268.88	$373.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.77 / $303.50 / $349.15	Professional		$232.77	$303.50	$349.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.40 / $205.92 / $328.68	Facility		$125.40	$205.92	$328.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $234.00 / $362.39	Professional		$154.69	$234.00	$362.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.37 / $242.86 / $265.20	Facility		$166.37	$242.86	$265.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.16 / $213.50 / $328.68	Facility		$128.16	$213.50	$328.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $272.54 / $359.15	Professional		$166.32	$272.54	$359.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $496.95 / $618.64	Facility		$389.95	$496.95	$618.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.11 / $262.18 / $358.16	Professional		$194.11	$262.18	$358.16
United Facility/Professional Professional Modifier Low / Median / High Price $192.40 / $293.61 / $413.02	Professional		$192.40	$293.61	$413.02