Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.53 / $299.76 / $342.57	Facility		$167.53	$299.76	$342.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $175.07 / $567.24	Professional		$134.43	$175.07	$567.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $157.57 / $157.57	Facility		$157.57	$157.57	$157.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.52 / $317.25 / $454.40	Professional		$190.52	$317.25	$454.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.39 / $290.69 / $325.77	Professional		$215.39	$290.69	$325.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $250.48 / $425.26	Facility		$142.59	$250.48	$425.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.35 / $292.64 / $436.04	Professional		$219.35	$292.64	$436.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.86 / $270.39 / $320.93	Facility		$225.86	$270.39	$320.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $310.50 / $425.26	Facility		$142.59	$310.50	$425.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.30 / $329.60 / $418.00	Professional		$238.30	$329.60	$418.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $293.93 / $430.58 / $577.75	Facility		$293.93	$430.58	$577.75
United Facility/Professional Professional Modifier Low / Median / High Price $209.71 / $305.50 / $438.34	Professional		$209.71	$305.50	$438.34