Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.84 / $222.84 / $338.88	Facility		$222.84	$222.84	$338.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.87 / $195.09 / $412.64	Professional		$185.87	$195.09	$412.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $216.42	Facility		$216.42	$216.42	$216.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $216.42	Professional		$157.99	$157.99	$216.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.66 / $655.53 / $854.98	Professional		$227.66	$655.53	$854.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.09 / $267.27 / $325.23	Facility		$195.09	$267.27	$325.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $305.72 / $325.23	Professional		$241.81	$305.72	$325.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.14 / $325.23 / $361.98	Facility		$258.14	$325.23	$361.98
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $258.36 / $325.23 / $361.98	Professional		$258.36	$325.23	$361.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.09 / $278.98 / $341.49	Facility		$195.09	$278.98	$341.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $284.77 / $357.75	Professional		$157.99	$284.77	$357.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $270.95 / $540.84 / $1,141.00	Facility		$270.95	$540.84	$1,141.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $357.75 / $357.75	Professional		$279.70	$357.75	$357.75
United Facility/Professional Facility Modifier Low / Median / High Price $153.02 / $153.02 / $154.65	Facility		$153.02	$153.02	$154.65
United Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $154.40 / $294.57	Professional		$145.33	$154.40	$294.57