Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.82 / $236.94 / $572.04	Facility		$175.82	$236.94	$572.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.21 / $183.03 / $449.57	Professional		$181.21	$183.03	$449.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $246.00 / $349.60	Facility		$170.96	$246.00	$349.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $196.61	Professional		$181.22	$181.22	$196.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $386.35 / $457.02	Professional		$173.50	$386.35	$457.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.82 / $259.14 / $389.62	Facility		$116.82	$259.14	$389.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $192.10 / $235.59	Professional		$181.22	$192.10	$235.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.82 / $228.57 / $376.94	Facility		$175.82	$228.57	$376.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $246.00 / $389.62	Facility		$170.96	$246.00	$389.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $213.65 / $227.83	Professional		$181.22	$213.65	$227.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $177.58 / $284.13 / $666.51	Facility		$177.58	$284.13	$666.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Professional		$181.22	$181.22	$181.22
United Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Professional		$181.22	$181.22	$181.22