Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.56 / $171.78 / $218.23	Facility		$132.56	$171.78	$218.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $119.00 / $341.20	Professional		$81.41	$119.00	$341.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $198.83 / $294.89	Professional		$114.24	$198.83	$294.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $218.01 / $271.32	Professional		$167.51	$218.01	$271.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.33 / $194.25 / $290.89	Facility		$92.33	$194.25	$290.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $196.79 / $279.02	Professional		$141.44	$196.79	$279.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.32 / $222.22 / $235.17	Facility		$157.32	$222.22	$235.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.33 / $205.64 / $289.66	Facility		$92.33	$205.64	$289.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $222.57 / $294.08	Professional		$167.68	$222.57	$294.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $214.15 / $267.27 / $486.68	Facility		$214.15	$267.27	$486.68
United Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $233.82 / $355.20	Professional		$154.08	$233.82	$355.20