Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $269.15 / $478.63	Facility		$102.33	$269.15	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $134.90	Professional		$70.79	$83.18	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $309.03	Facility		$173.78	$173.78	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $281.84	Professional		$107.15	$229.09	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $147.91	Facility		$107.15	$107.15	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $151.36	Professional		$89.13	$117.49	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $186.21	Facility		$95.50	$117.49	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $151.36 / $281.84	Facility		$95.50	$151.36	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $151.36	Professional		$79.43	$117.49	$151.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $323.59 / $426.58	Facility		$186.21	$323.59	$426.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $128.82	Professional		$85.11	$91.20	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $169.82	Facility		$128.82	$128.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $128.82	Professional		$44.67	$44.67	$128.82