Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $173.73 / $281.98	Facility		$140.43	$173.73	$281.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $142.40 / $173.73	Professional		$140.43	$142.40	$173.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $193.14 / $268.52	Facility		$133.01	$193.14	$268.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $152.96	Professional		$140.99	$140.99	$152.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $308.24 / $359.15	Professional		$138.41	$308.24	$359.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $201.62 / $303.13	Facility		$140.99	$201.62	$303.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $149.44 / $183.29	Professional		$140.99	$149.44	$183.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.99 / $292.62	Facility		$140.00	$140.99	$292.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.93 / $152.56 / $267.27	Facility		$145.93	$152.56	$267.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $166.26 / $175.78	Professional		$140.99	$166.26	$175.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $133.46 / $224.00 / $506.98	Facility		$133.46	$224.00	$506.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $156.94	Professional		$140.99	$140.99	$156.94