Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $162.18 / $446.68	Facility		$81.28	$162.18	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $562.34	Professional		$81.28	$87.10	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $416.87	Professional		$239.88	$281.84	$416.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $151.36 / $363.08	Facility		$81.28	$151.36	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $562.34	Professional		$81.28	$97.72	$562.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $323.59	Facility		$97.72	$97.72	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $120.23 / $288.40	Facility		$85.11	$120.23	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $245.47	Professional		$79.43	$87.10	$245.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $102.33	Professional		$85.11	$85.11	$102.33