Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $158.49	Facility		$117.49	$117.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $165.96	Professional		$151.36	$158.49	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $323.59 / $323.59	Facility		$162.18	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $323.59	Professional		$151.36	$257.04	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $154.88 / $229.09	Facility		$141.25	$154.88	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $316.23	Professional		$158.49	$239.88	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $169.82 / $263.03	Facility		$66.07	$169.82	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $204.17	Professional		$79.43	$125.89	$204.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $165.96	Professional		$125.89	$158.49	$165.96