Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.22 / $135.03 / $176.54	Facility		$129.22	$135.03	$176.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $88.51 / $218.55	Professional		$69.16	$88.51	$218.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $94.69	Facility		$94.69	$94.69	$94.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $158.44 / $227.75	Professional		$82.51	$158.44	$227.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.78 / $166.88 / $209.29	Professional		$134.78	$166.88	$209.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $130.78 / $208.25	Facility		$78.95	$130.78	$208.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $144.91 / $223.86	Professional		$112.61	$144.91	$223.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $162.34 / $172.19	Facility		$114.44	$162.34	$172.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.28 / $134.66 / $219.67	Facility		$80.28	$134.66	$219.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $169.62 / $222.72	Professional		$132.06	$169.62	$222.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $155.25 / $263.98 / $356.35	Facility		$155.25	$263.98	$356.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.60 / $170.19 / $232.91	Professional		$124.60	$170.19	$232.91
United Facility/Professional Professional Modifier Low / Median / High Price $123.97 / $174.58 / $272.35	Professional		$123.97	$174.58	$272.35