Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.58 / $161.97 / $258.95	Facility		$129.58	$161.97	$258.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $134.71 / $222.87	Professional		$129.47	$134.71	$222.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $182.10 / $259.00	Facility		$122.15	$182.10	$259.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $140.47	Professional		$129.47	$129.47	$140.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $284.79 / $338.73	Professional		$127.89	$284.79	$338.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $185.16 / $278.38	Facility		$129.47	$185.16	$278.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $137.25 / $168.32	Professional		$129.47	$137.25	$168.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.39 / $129.58 / $268.73	Facility		$127.39	$129.58	$268.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.65 / $139.44 / $253.72	Facility		$131.65	$139.44	$253.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $152.69 / $160.85	Professional		$129.47	$152.69	$160.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.06 / $139.84 / $373.74	Facility		$125.06	$139.84	$373.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47