Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $630.96 / $645.65	Facility		$138.04	$630.96	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $177.83	Professional		$93.33	$112.20	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $416.87	Facility		$234.42	$234.42	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $309.03 / $371.54	Professional		$141.25	$309.03	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $194.98	Facility		$138.04	$141.25	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $199.53	Professional		$134.90	$158.49	$199.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $158.49 / $223.87	Facility		$128.82	$158.49	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $199.53 / $371.54	Facility		$107.15	$199.53	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $199.53	Professional		$79.43	$158.49	$199.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $426.58 / $562.34	Facility		$251.19	$426.58	$562.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $169.82	Professional		$114.82	$120.23	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $229.09	Facility		$169.82	$169.82	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $169.82	Professional		$60.26	$60.26	$169.82