Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.82 / $227.03 / $280.76	Facility		$170.82	$227.03	$280.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $198.37 / $523.25	Professional		$104.75	$198.37	$523.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $152.08	Facility		$152.08	$152.08	$152.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $260.85 / $390.26	Professional		$133.03	$260.85	$390.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.04 / $286.52 / $368.41	Professional		$216.04	$286.52	$368.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $213.17 / $353.97	Facility		$120.22	$213.17	$353.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.42 / $239.65 / $362.90	Professional		$174.42	$239.65	$362.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.19 / $283.02 / $298.82	Facility		$177.19	$283.02	$298.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.08 / $213.17 / $378.42	Facility		$124.08	$213.17	$378.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.29 / $282.95 / $380.16	Professional		$211.29	$282.95	$380.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $266.32 / $454.75 / $615.61	Facility		$266.32	$454.75	$615.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $197.15 / $276.51 / $399.17	Professional		$197.15	$276.51	$399.17
United Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $287.43 / $448.59	Professional		$192.27	$287.43	$448.59