Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $188.90 / $328.50	Facility		$163.21	$188.90	$328.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.84 / $280.72	Professional		$164.25	$164.84	$280.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.51 / $258.97 / $304.56	Facility		$152.51	$258.97	$304.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $185.95	Professional		$164.25	$164.25	$185.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.86 / $358.50 / $436.28	Professional		$273.86	$358.50	$436.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $165.90 / $353.14	Facility		$163.21	$165.90	$353.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $174.11 / $213.53	Professional		$164.25	$174.11	$213.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $185.95 / $492.75	Facility		$163.21	$185.95	$492.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $172.46 / $304.36	Facility		$164.25	$172.46	$304.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.84 / $181.64 / $204.99	Professional		$159.84	$181.64	$204.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $129.82 / $233.66 / $468.47	Facility		$129.82	$233.66	$468.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $180.68	Professional		$164.25	$164.25	$180.68
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $188.89	Professional		$164.25	$164.25	$188.89