Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.01 / $241.01 / $264.87	Facility		$241.01	$241.01	$264.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $115.09 / $272.82	Professional		$99.87	$115.09	$272.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Facility		$122.50	$122.50	$122.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.74 / $224.11 / $313.70	Professional		$143.74	$224.11	$313.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.89 / $241.48 / $271.88	Professional		$185.89	$241.48	$271.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.20 / $192.24 / $282.24	Facility		$106.20	$192.24	$282.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.19 / $202.40 / $326.33	Professional		$169.19	$202.40	$326.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $160.72 / $207.75 / $223.11	Facility		$160.72	$207.75	$223.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.58 / $198.53 / $278.88	Facility		$113.58	$198.53	$278.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.77 / $232.31 / $295.64	Professional		$146.77	$232.31	$295.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.34 / $216.55 / $304.14	Professional		$173.34	$216.55	$304.14
United Facility/Professional Professional Modifier Low / Median / High Price $163.38 / $236.20 / $338.34	Professional		$163.38	$236.20	$338.34