Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $177.84 / $237.13	Facility		$111.74	$177.84	$237.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $133.07 / $217.68	Professional		$73.73	$133.07	$217.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.77 / $125.77 / $125.77	Facility		$125.77	$125.77	$125.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $239.53 / $406.82	Professional		$132.91	$239.53	$406.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $221.94 / $352.76	Professional		$146.69	$221.94	$352.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.03 / $152.86 / $273.35	Facility		$80.03	$152.86	$273.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.58 / $217.86 / $341.31	Professional		$145.58	$217.86	$341.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $280.85 / $308.20	Facility		$153.44	$280.85	$308.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.03 / $145.26 / $273.35	Facility		$80.03	$145.26	$273.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $196.56 / $361.64	Professional		$106.08	$196.56	$361.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.56 / $228.29 / $359.95	Professional		$140.56	$228.29	$359.95
United Facility/Professional Professional Modifier Low / Median / High Price $234.90 / $313.61 / $461.03	Professional		$234.90	$313.61	$461.03