Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.71 / $133.71 / $133.71	Facility		$133.71	$133.71	$133.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $110.83 / $180.98	Professional		$90.76	$110.83	$180.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $124.10 / $124.10	Facility		$124.10	$124.10	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.59 / $229.63 / $279.57	Professional		$194.59	$229.63	$279.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.68 / $197.14 / $263.57	Facility		$107.68	$197.14	$263.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $194.93 / $324.00	Professional		$159.63	$194.93	$324.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.91 / $206.28 / $222.36	Facility		$150.91	$206.28	$222.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.17 / $216.94 / $277.17	Facility		$110.17	$216.94	$277.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $228.26 / $297.16	Professional		$96.42	$228.26	$297.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $333.09 / $454.79	Facility		$194.51	$333.09	$454.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $239.96 / $306.04	Professional		$174.90	$239.96	$306.04
United Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $221.89 / $347.10	Professional		$155.04	$221.89	$347.10