Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $210.90 / $282.74	Facility		$127.45	$210.90	$282.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.84 / $117.37 / $308.00	Professional		$84.84	$117.37	$308.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $129.88 / $129.88	Facility		$129.88	$129.88	$129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $219.17 / $313.80	Professional		$116.12	$219.17	$313.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $241.10 / $271.01	Professional		$179.18	$241.10	$271.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.20 / $184.23 / $277.77	Facility		$117.20	$184.23	$277.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $193.60 / $362.87	Professional		$157.08	$193.60	$362.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $201.00 / $227.80	Facility		$144.00	$201.00	$227.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.20 / $208.60 / $290.89	Facility		$117.20	$208.60	$290.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.12 / $231.71 / $294.06	Professional		$161.12	$231.71	$294.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $188.39 / $274.27 / $356.66	Professional		$188.39	$274.27	$356.66
United Facility/Professional Professional Modifier Low / Median / High Price $135.53 / $199.32 / $344.40	Professional		$135.53	$199.32	$344.40