Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.94 / $207.71 / $275.83	Facility		$174.94	$207.71	$275.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $151.41 / $421.61	Professional		$80.80	$151.41	$421.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $124.66	Facility		$124.66	$124.66	$124.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $215.72 / $326.27	Professional		$119.87	$215.72	$326.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $238.53 / $306.77	Professional		$177.00	$238.53	$306.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.87 / $177.17 / $290.79	Facility		$98.87	$177.17	$290.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $199.62 / $302.45	Professional		$142.29	$199.62	$302.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.72 / $235.34 / $248.57	Facility		$144.72	$235.34	$248.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.29 / $177.17 / $314.06	Facility		$101.29	$177.17	$314.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $234.13 / $315.04	Professional		$173.60	$234.13	$315.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $220.90 / $377.42 / $511.64	Facility		$220.90	$377.42	$511.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $160.88 / $226.73 / $331.15	Professional		$160.88	$226.73	$331.15
United Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $248.40 / $379.18	Professional		$165.60	$248.40	$379.18