Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.25 / $158.28 / $233.15	Facility		$109.25	$158.28	$233.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $112.69 / $361.45	Professional		$57.45	$112.69	$361.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $174.98 / $274.86	Professional		$99.16	$174.98	$274.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $188.56 / $257.47	Professional		$138.65	$188.56	$257.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $149.69 / $244.62	Facility		$80.84	$149.69	$244.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.71 / $164.95 / $250.57	Professional		$112.71	$164.95	$250.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $197.27 / $209.71	Facility		$121.00	$197.27	$209.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.26 / $149.69 / $266.01	Facility		$83.26	$149.69	$266.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $193.33 / $265.72	Professional		$137.34	$193.33	$265.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $184.70 / $319.67 / $427.06	Facility		$184.70	$319.67	$427.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $183.58 / $278.33	Professional		$127.53	$183.58	$278.33
United Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $207.69 / $311.11	Professional		$138.46	$207.69	$311.11