Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.25 / $158.28 / $207.56	Facility		$138.25	$158.28	$207.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $126.34 / $367.00	Professional		$62.31	$126.34	$367.00
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 $99.36 / $174.98 / $273.94	Professional		$99.36	$174.98	$273.94
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 $80.56 / $149.19 / $243.81	Facility		$80.56	$149.19	$243.81
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 $120.60 / $197.27 / $209.04	Facility		$120.60	$197.27	$209.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $149.19 / $265.14	Facility		$83.00	$149.19	$265.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $193.13 / $264.83	Professional		$137.34	$193.13	$264.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $184.09 / $318.63 / $425.66	Facility		$184.09	$318.63	$425.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $183.58 / $277.44	Professional		$127.53	$183.58	$277.44
United Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $204.00 / $325.68	Professional		$133.93	$204.00	$325.68