Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.41 / $180.60 / $217.76	Facility		$124.41	$180.60	$217.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $120.56 / $389.17	Professional		$67.53	$120.56	$389.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $195.25 / $311.82	Professional		$101.87	$195.25	$311.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.62 / $214.80 / $293.39	Professional		$157.62	$214.80	$293.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.02 / $169.24 / $277.83	Facility		$93.02	$169.24	$277.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $190.54 / $283.50	Professional		$128.52	$190.54	$283.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.47 / $224.67 / $237.85	Facility		$137.47	$224.67	$237.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $169.24 / $300.33	Facility		$96.48	$169.24	$300.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $218.41 / $300.86	Professional		$153.76	$218.41	$300.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $209.87 / $360.93 / $482.51	Facility		$209.87	$360.93	$482.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.91 / $208.12 / $314.49	Professional		$143.91	$208.12	$314.49
United Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $235.89 / $353.50	Professional		$150.91	$235.89	$353.50