Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $153.91 / $153.91	Facility		$153.91	$153.91	$153.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $161.38	Professional		$134.47	$134.47	$161.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.44 / $275.44 / $275.44	Facility		$275.44	$275.44	$275.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $53.64 / $57.87	Professional		$46.50	$53.64	$57.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.92 / $141.19 / $289.13	Facility		$47.92	$141.19	$289.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $47.76 / $47.76	Professional		$47.76	$47.76	$47.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $45.56 / $45.56	Facility		$29.92	$45.56	$45.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.35 / $192.31 / $289.13	Facility		$60.35	$192.31	$289.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $183.47 / $192.40	Professional		$66.54	$183.47	$192.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $153.91	Professional		$153.91	$153.91	$153.91
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $177.01	Professional		$153.91	$153.91	$177.01