Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.94 / $211.83 / $344.44	Facility		$171.94	$211.83	$344.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.21 / $173.94 / $338.66	Professional		$172.21	$173.94	$338.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $229.86 / $324.92	Facility		$162.47	$229.86	$324.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $186.84	Professional		$172.22	$172.22	$186.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.67 / $377.83 / $437.69	Professional		$169.67	$377.83	$437.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.35 / $219.04 / $370.27	Facility		$92.35	$219.04	$370.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.18 / $182.55 / $223.89	Professional		$172.18	$182.55	$223.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $172.22 / $357.44	Facility		$157.47	$172.22	$357.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $229.86 / $370.27	Facility		$162.47	$229.86	$370.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $186.84 / $203.04	Professional		$88.14	$186.84	$203.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $139.47 / $246.61 / $495.77	Facility		$139.47	$246.61	$495.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $198.05	Professional		$172.22	$172.22	$198.05