Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.13 / $197.34 / $238.03	Facility		$141.13	$197.34	$238.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.47 / $158.71 / $451.06	Professional		$88.47	$158.71	$451.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $219.26 / $339.05	Professional		$111.72	$219.26	$339.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.30 / $240.31 / $319.99	Professional		$178.30	$240.31	$319.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.82 / $184.70 / $305.37	Facility		$102.82	$184.70	$305.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.33 / $203.78 / $309.95	Professional		$144.33	$203.78	$309.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.75 / $245.20 / $259.29	Facility		$150.75	$245.20	$259.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $184.70 / $328.65	Facility		$105.24	$184.70	$328.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.46 / $241.92 / $328.65	Professional		$175.46	$241.92	$328.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $230.12 / $394.95 / $532.44	Facility		$230.12	$394.95	$532.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $233.04 / $346.12	Professional		$162.63	$233.04	$346.12
United Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $258.99 / $387.01	Professional		$168.75	$258.99	$387.01