Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $232.88 / $387.52	Facility		$189.75	$232.88	$387.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $195.70 / $232.88	Professional		$189.75	$195.70	$232.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $263.64 / $372.62	Facility		$182.79	$263.64	$372.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $210.21	Professional		$193.76	$193.76	$210.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.22 / $416.91 / $490.23	Professional		$187.22	$416.91	$490.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $277.08 / $416.58	Facility		$193.76	$277.08	$416.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $205.38 / $251.89	Professional		$193.76	$205.38	$251.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.66 / $193.76 / $402.14	Facility		$182.66	$193.76	$402.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.34 / $202.12 / $358.28	Facility		$193.34	$202.12	$358.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $223.93 / $232.89	Professional		$193.76	$223.93	$232.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.43 / $283.88 / $642.00	Facility		$169.43	$283.88	$642.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $222.82	Professional		$193.76	$193.76	$222.82