Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $229.09 / $416.87	Facility		$87.10	$229.09	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $141.25	Professional		$61.66	$77.62	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $239.88 / $295.12	Facility		$147.91	$239.88	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $194.98 / $239.88	Professional		$91.20	$194.98	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $125.89	Facility		$91.20	$91.20	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $128.82	Professional		$85.11	$100.00	$128.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $162.18	Facility		$83.18	$100.00	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $128.82 / $269.15	Facility		$79.43	$128.82	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $138.04	Professional		$79.43	$100.00	$138.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $275.42 / $380.19	Facility		$138.04	$275.42	$380.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $109.65	Professional		$74.13	$77.62	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $147.91	Facility		$109.65	$109.65	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $109.65	Professional		$38.90	$47.86	$109.65