Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.29 / $237.91 / $369.60	Facility		$135.29	$237.91	$369.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.54 / $136.97 / $527.00	Professional		$125.54	$136.97	$527.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $130.59	Facility		$130.59	$130.59	$130.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $95.33 / $130.59	Professional		$95.33	$95.33	$130.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.82 / $442.47 / $577.10	Professional		$159.82	$442.47	$577.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.97 / $187.68 / $228.32	Facility		$136.97	$187.68	$228.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.78 / $214.62 / $239.74	Professional		$169.78	$214.62	$239.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.26 / $228.32 / $251.15	Facility		$181.26	$228.32	$251.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $205.49 / $228.32 / $236.52	Professional		$205.49	$228.32	$236.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $199.93 / $239.74	Facility		$130.59	$199.93	$239.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $199.93 / $251.15	Professional		$95.33	$199.93	$251.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $190.23 / $379.70 / $801.04	Facility		$190.23	$379.70	$801.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $196.36 / $251.15 / $251.15	Professional		$196.36	$251.15	$251.15
United Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $104.27 / $198.92	Professional		$98.15	$104.27	$198.92