Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $225.68 / $154,588.54	Facility		$183.41	$225.68	$154,588.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $185.31 / $302.83	Professional		$183.47	$185.31	$302.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.09 / $305.75 / $360.44	Facility		$173.09	$305.75	$360.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $207.71	Professional		$183.48	$183.48	$207.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.49 / $402.70 / $492.27	Professional		$307.49	$402.70	$492.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $172.80 / $183.48 / $387.75	Facility		$172.80	$183.48	$387.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $194.49 / $238.52	Professional		$183.48	$194.49	$238.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $211.17 / $550.44	Facility		$183.41	$211.17	$550.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.92 / $192.65 / $355.30	Facility		$174.92	$192.65	$355.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $210.70 / $233.67	Professional		$183.48	$210.70	$233.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $245.49 / $613.33	Facility		$163.66	$245.49	$613.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $220.18	Professional		$183.48	$183.48	$220.18
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $211.00	Professional		$183.48	$183.48	$211.00