Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $165.84 / $278.42	Facility		$138.66	$165.84	$278.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $140.06 / $238.52	Professional		$139.21	$140.06	$238.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $231.66 / $272.42	Facility		$131.33	$231.66	$272.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $157.60	Professional		$139.21	$139.21	$157.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.64 / $304.67 / $372.45	Professional		$232.64	$304.67	$372.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $88.51 / $139.21 / $286.77	Facility		$88.51	$139.21	$286.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $147.56 / $180.97	Professional		$139.21	$147.56	$180.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $157.60 / $417.63	Facility		$138.66	$157.60	$417.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.19 / $144.79 / $262.87	Facility		$91.19	$144.79	$262.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $159.46 / $174.77	Professional		$139.21	$159.46	$174.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $175.77 / $396.82	Facility		$117.06	$175.77	$396.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $153.13	Professional		$139.21	$139.21	$153.13
United Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $161.47	Professional		$139.21	$139.21	$161.47