Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $194.64 / $346.06	Facility		$172.55	$194.64	$346.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.75 / $237.62	Professional		$173.03	$174.75	$237.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $281.39 / $329.84	Facility		$163.24	$281.39	$329.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $195.88	Professional		$173.03	$173.03	$195.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.27 / $375.60 / $451.38	Professional		$273.27	$375.60	$451.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.66 / $173.03 / $318.38	Facility		$109.66	$173.03	$318.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $183.41 / $224.94	Professional		$173.03	$183.41	$224.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $195.88 / $519.09	Facility		$172.55	$195.88	$519.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $174.76 / $281.39	Facility		$122.22	$174.76	$281.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.69 / $187.15 / $212.21	Professional		$164.69	$187.15	$212.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $205.46 / $513.88	Facility		$136.97	$205.46	$513.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $207.64	Professional		$173.03	$173.03	$207.64
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $198.98	Professional		$173.03	$173.03	$198.98