Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $145.72 / $234.72	Facility		$117.19	$145.72	$234.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $118.53 / $280.02	Professional		$117.36	$118.53	$280.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $163.40 / $232.94	Facility		$110.72	$163.40	$232.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $127.32	Professional		$117.36	$117.36	$127.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $257.11 / $303.83	Professional		$115.46	$257.11	$303.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $167.82 / $252.32	Facility		$117.36	$167.82	$252.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $124.40 / $152.57	Professional		$117.36	$124.40	$152.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $146.49 / $244.11	Facility		$117.19	$146.49	$244.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.33 / $121.66 / $224.20	Facility		$116.33	$121.66	$224.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $138.40 / $144.34	Professional		$117.36	$138.40	$144.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.96 / $160.77 / $364.24	Facility		$107.96	$160.77	$364.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36