Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.91 / $161.58 / $174.55	Facility		$130.91	$161.58	$174.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $129.60 / $183.80	Professional		$102.47	$129.60	$183.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $197.86	Facility		$197.86	$197.86	$197.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $238.91 / $345.08	Professional		$113.00	$238.91	$345.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $250.35 / $311.56	Professional		$178.40	$250.35	$311.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.41 / $161.94 / $286.04	Facility		$116.41	$161.94	$286.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $224.44 / $384.06	Professional		$142.37	$224.44	$384.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $156.38 / $237.87 / $260.63	Facility		$156.38	$237.87	$260.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.74 / $161.94 / $305.63	Facility		$115.74	$161.94	$305.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $218.30 / $326.20	Professional		$122.85	$218.30	$326.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.11 / $236.56 / $314.70	Professional		$152.11	$236.56	$314.70
United Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $241.18 / $382.76	Professional		$122.99	$241.18	$382.76