Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.56 / $200.97 / $220.73	Facility		$132.56	$200.97	$220.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $121.36 / $371.00	Professional		$83.17	$121.36	$371.00
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 $121.71 / $210.43 / $295.56	Professional		$121.71	$210.43	$295.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $188.23 / $220.99	Professional		$143.91	$188.23	$220.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.64 / $162.44 / $283.20	Facility		$84.64	$162.44	$283.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.51 / $189.72 / $279.02	Professional		$142.51	$189.72	$279.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.75 / $177.55 / $211.72	Facility		$145.75	$177.55	$211.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.64 / $186.30 / $264.77	Facility		$84.64	$186.30	$264.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.66 / $218.40 / $269.48	Professional		$167.66	$218.40	$269.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $217.70 / $291.38	Professional		$157.37	$217.70	$291.38
United Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $204.75 / $303.02	Professional		$138.94	$204.75	$303.02