Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.15 / $202.85 / $244.84	Facility		$147.15	$202.85	$244.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $139.90 / $379.68	Professional		$78.84	$139.90	$379.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.97 / $226.18 / $348.61	Professional		$114.97	$226.18	$348.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.06 / $250.82 / $329.16	Professional		$186.06	$250.82	$329.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.08 / $189.84 / $313.47	Facility		$106.08	$189.84	$313.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $214.02 / $316.61	Professional		$149.94	$214.02	$316.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.57 / $251.52 / $266.66	Facility		$155.57	$251.52	$266.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.26 / $189.84 / $338.09	Facility		$108.26	$189.84	$338.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.90 / $250.47 / $338.80	Professional		$182.90	$250.47	$338.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $237.48 / $406.30 / $549.05	Facility		$237.48	$406.30	$549.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.07 / $243.14 / $356.13	Professional		$169.07	$243.14	$356.13
United Facility/Professional Professional Modifier Low / Median / High Price $157.77 / $263.17 / $400.01	Professional		$157.77	$263.17	$400.01