Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.11 / $167.51 / $208.46	Facility		$127.11	$167.51	$208.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.32 / $125.03 / $202.08	Professional		$97.32	$125.03	$202.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $175.89 / $175.89	Facility		$175.89	$175.89	$175.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $140.34 / $304.85	Professional		$110.84	$140.34	$304.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $229.04 / $305.39	Professional		$164.86	$229.04	$305.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.47 / $144.88 / $263.94	Facility		$101.47	$144.88	$263.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $206.55 / $337.38	Professional		$140.19	$206.55	$337.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.46 / $253.26 / $257.95	Facility		$153.46	$253.26	$257.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.47 / $144.88 / $269.98	Facility		$101.47	$144.88	$269.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $184.32 / $305.63	Professional		$116.00	$184.32	$305.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $207.36 / $300.49	Professional		$142.76	$207.36	$300.49
United Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $221.17 / $363.64	Professional		$140.00	$221.17	$363.64