Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.72 / $286.52 / $756.05	Facility		$151.72	$286.52	$756.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $124.60 / $210.48	Professional		$123.35	$124.60	$210.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $161.87 / $286.52	Facility		$116.38	$161.87	$286.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $133.84	Professional		$123.36	$123.36	$133.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $298.27 / $345.55	Professional		$123.36	$298.27	$345.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.83 / $172.11 / $265.22	Facility		$98.83	$172.11	$265.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.25 / $130.76 / $154.19	Professional		$121.25	$130.76	$154.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $153.93 / $370.08	Facility		$123.36	$153.93	$370.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $161.87 / $286.52	Facility		$116.38	$161.87	$286.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $133.84 / $156.61	Professional		$86.16	$133.84	$156.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36