Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.10 / $191.58 / $259.72	Facility		$161.10	$191.58	$259.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $139.11 / $402.38	Professional		$74.23	$139.11	$402.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $200.90 / $305.55	Professional		$111.95	$200.90	$305.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.99 / $219.72 / $288.77	Professional		$162.99	$219.72	$288.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.48 / $166.62 / $272.16	Facility		$91.48	$166.62	$272.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $187.87 / $282.83	Professional		$134.38	$187.87	$282.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.88 / $221.34 / $233.83	Facility		$135.88	$221.34	$233.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.88 / $166.62 / $296.04	Facility		$94.88	$166.62	$296.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.75 / $217.96 / $296.04	Professional		$158.75	$217.96	$296.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $207.40 / $355.76 / $475.58	Facility		$207.40	$355.76	$475.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.59 / $212.01 / $309.97	Professional		$148.59	$212.01	$309.97
United Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $232.40 / $364.49	Professional		$155.47	$232.40	$364.49