Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.40 / $246.77 / $301.58	Facility		$230.40	$246.77	$301.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $161.71 / $549.01	Professional		$106.31	$161.71	$549.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $280.50 / $423.29	Professional		$144.63	$280.50	$423.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $311.47 / $400.60	Professional		$232.00	$311.47	$400.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.18 / $231.00 / $383.94	Facility		$130.18	$231.00	$383.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.49 / $260.45 / $386.19	Professional		$188.49	$260.45	$386.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.74 / $305.89 / $324.27	Facility		$189.74	$305.89	$324.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.09 / $231.00 / $411.89	Facility		$134.09	$231.00	$411.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $306.80 / $411.89	Professional		$228.16	$306.80	$411.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.63 / $494.97 / $665.54	Facility		$289.63	$494.97	$665.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $297.38 / $433.18	Professional		$212.36	$297.38	$433.18
United Facility/Professional Professional Modifier Low / Median / High Price $217.12 / $320.95 / $488.88	Professional		$217.12	$320.95	$488.88