Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.07 / $218.16 / $245.46	Facility		$172.07	$218.16	$245.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $154.10 / $452.00	Professional		$89.70	$154.10	$452.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.81 / $230.79 / $351.31	Professional		$129.81	$230.79	$351.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.06 / $250.82 / $330.79	Professional		$186.06	$250.82	$330.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $190.35 / $314.27	Facility		$106.34	$190.35	$314.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $212.51 / $325.64	Professional		$155.84	$212.51	$325.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.57 / $253.60 / $267.33	Facility		$155.57	$253.60	$267.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.79 / $190.35 / $338.95	Facility		$108.79	$190.35	$338.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.90 / $251.10 / $338.95	Professional		$182.90	$251.10	$338.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $237.48 / $407.31 / $550.47	Facility		$237.48	$407.31	$550.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.07 / $243.14 / $356.96	Professional		$169.07	$243.14	$356.96
United Facility/Professional Professional Modifier Low / Median / High Price $178.02 / $263.17 / $409.21	Professional		$178.02	$263.17	$409.21