Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.71 / $288.68 / $607.22	Facility		$161.71	$288.68	$607.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $161.72 / $450.08	Professional		$115.35	$161.72	$450.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.03 / $149.03 / $149.03	Facility		$149.03	$149.03	$149.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.43 / $262.58 / $381.55	Professional		$146.43	$262.58	$381.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $201.74 / $272.74 / $305.12	Professional		$201.74	$272.74	$305.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.53 / $234.60 / $358.30	Facility		$136.53	$234.60	$358.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $201.96 / $239.32 / $411.64	Professional		$201.96	$239.32	$411.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $187.50 / $253.49 / $260.63	Facility		$187.50	$253.49	$260.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.47 / $272.30 / $358.30	Facility		$131.47	$272.30	$358.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.18 / $281.52 / $354.20	Professional		$199.18	$281.52	$354.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $225.23 / $317.64 / $407.01	Professional		$225.23	$317.64	$407.01
United Facility/Professional Professional Modifier Low / Median / High Price $169.20 / $264.52 / $409.61	Professional		$169.20	$264.52	$409.61