Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.30 / $277.08 / $375.00	Professional		$144.30	$277.08	$375.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $301.51	Facility		$301.51	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $301.51	Professional		$220.10	$220.10	$301.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $288.35 / $376.07	Professional		$95.87	$288.35	$376.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.72 / $144.30 / $423.68	Facility		$102.72	$144.30	$423.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $136.96 / $378.34	Professional		$128.74	$136.96	$378.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.96 / $204.11 / $397.17	Facility		$136.96	$204.11	$397.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.96 / $144.30 / $362.59	Facility		$136.96	$144.30	$362.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $214.76 / $401.95	Professional		$159.56	$214.76	$401.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $182.55 / $683.44 / $803.90	Facility		$182.55	$683.44	$803.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.16 / $150.66 / $415.05	Professional		$119.16	$150.66	$415.05
United Facility/Professional Professional Modifier Low / Median / High Price $147.19 / $220.78 / $367.97	Professional		$147.19	$220.78	$367.97