Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.64 / $179.43 / $235.67	Facility		$166.64	$179.43	$235.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $113.85 / $297.05	Professional		$89.31	$113.85	$297.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $127.81 / $127.81	Facility		$127.81	$127.81	$127.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $204.02 / $290.14	Professional		$105.08	$204.02	$290.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.67 / $223.69 / $268.45	Professional		$180.67	$223.69	$268.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.95 / $171.91 / $267.12	Facility		$101.95	$171.91	$267.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.11 / $187.86 / $288.20	Professional		$152.11	$187.86	$288.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.69 / $208.89 / $219.76	Facility		$141.69	$208.89	$219.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.03 / $174.25 / $279.74	Facility		$103.03	$174.25	$279.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.29 / $222.82 / $289.82	Professional		$173.29	$222.82	$289.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $198.82 / $336.16 / $458.96	Facility		$198.82	$336.16	$458.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.18 / $221.87 / $301.62	Professional		$163.18	$221.87	$301.62
United Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $220.32 / $337.73	Professional		$158.00	$220.32	$337.73