Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.03 / $276.22 / $332.47	Facility		$201.03	$276.22	$332.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.56 / $173.25 / $599.00	Professional		$124.56	$173.25	$599.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.48 / $302.54 / $446.05	Professional		$179.48	$302.54	$446.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $254.60 / $315.77 / $393.30	Professional		$254.60	$315.77	$393.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.46 / $242.85 / $409.92	Facility		$148.46	$242.85	$409.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $291.83 / $423.32	Professional		$223.38	$291.83	$423.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $235.30 / $316.60 / $350.41	Facility		$235.30	$316.60	$350.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.46 / $244.02 / $419.97	Facility		$148.46	$244.02	$419.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $339.43 / $441.70	Professional		$256.00	$339.43	$441.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $320.93 / $398.25 / $725.15	Facility		$320.93	$398.25	$725.15
United Facility/Professional Professional Modifier Low / Median / High Price $225.60 / $352.56 / $508.04	Professional		$225.60	$352.56	$508.04