Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.25 / $165.95 / $200.67	Facility		$138.25	$165.95	$200.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $114.64 / $385.00	Professional		$61.00	$114.64	$385.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.02 / $174.98 / $287.80	Professional		$90.02	$174.98	$287.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $188.95 / $269.82	Professional		$138.65	$188.95	$269.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.47 / $156.25 / $256.77	Facility		$84.47	$156.25	$256.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $169.88 / $256.64	Professional		$115.81	$169.88	$256.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.83 / $206.39 / $219.09	Facility		$125.83	$206.39	$219.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $156.25 / $277.17	Facility		$86.38	$156.25	$277.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $198.37 / $277.17	Professional		$137.18	$198.37	$277.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $192.07 / $333.09 / $445.09	Facility		$192.07	$333.09	$445.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $188.96 / $289.56	Professional		$127.53	$188.96	$289.56
United Facility/Professional Professional Modifier Low / Median / High Price $142.59 / $212.84 / $340.46	Professional		$142.59	$212.84	$340.46