Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $159.16 / $208.39	Facility		$127.55	$159.16	$208.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $92.07 / $216.63	Professional		$70.79	$92.07	$216.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $113.46 / $113.46	Facility		$113.46	$113.46	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $182.47 / $264.51	Professional		$103.72	$182.47	$264.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.04 / $198.20 / $245.41	Professional		$161.04	$198.20	$245.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.87 / $138.63 / $231.50	Facility		$81.87	$138.63	$231.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $172.04 / $245.25	Professional		$138.04	$172.04	$245.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.30 / $194.54 / $203.01	Facility		$132.30	$194.54	$203.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $150.44 / $250.58	Facility		$83.19	$150.44	$250.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $196.08 / $256.79	Professional		$156.24	$196.08	$256.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $308.32 / $362.15 / $414.56	Facility		$308.32	$362.15	$414.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $195.63 / $263.12	Professional		$138.94	$195.63	$263.12
United Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $198.33 / $291.80	Professional		$133.21	$198.33	$291.80