Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.39 / $174.11 / $209.66	Facility		$117.39	$174.11	$209.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $115.25 / $308.61	Professional		$64.75	$115.25	$308.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $186.98 / $300.56	Professional		$96.22	$186.98	$300.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $202.47 / $282.57	Professional		$148.56	$202.47	$282.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.19 / $163.12 / $268.11	Facility		$90.19	$163.12	$268.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $183.60 / $270.60	Professional		$124.36	$183.60	$270.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.86 / $216.14 / $229.14	Facility		$131.86	$216.14	$229.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.80 / $163.12 / $289.18	Facility		$92.80	$163.12	$289.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $207.70 / $289.83	Professional		$145.22	$207.70	$289.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.26 / $347.51 / $464.49	Facility		$201.26	$347.51	$464.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $197.15 / $302.74	Professional		$135.72	$197.15	$302.74
United Facility/Professional Professional Modifier Low / Median / High Price $154.15 / $220.87 / $339.72	Professional		$154.15	$220.87	$339.72