Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $136.18 / $1,646.62	Facility		$136.18	$136.18	$1,646.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $457.94	Professional		$138.74	$138.74	$457.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $196.35 / $272.74	Facility		$130.88	$196.35	$272.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $163.61	Professional		$138.74	$138.74	$163.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.30 / $315.77 / $397.38	Professional		$228.30	$315.77	$397.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $138.75 / $309.14	Facility		$136.18	$138.75	$309.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $147.06 / $174.50	Professional		$138.74	$147.06	$174.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $141.66 / $287.95	Facility		$136.18	$141.66	$287.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $171.20 / $309.14	Facility		$138.74	$171.20	$309.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $171.20 / $176.03	Professional		$138.74	$171.20	$176.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $138.74 / $138.74	Professional		$131.80	$138.74	$138.74
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $159.55	Professional		$138.74	$138.74	$159.55