Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.81 / $208.81 / $364.36	Facility		$208.81	$208.81	$364.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $7.89 / $7.89	Professional		$7.89	$7.89	$7.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.10 / $209.59 / $243.35	Facility		$136.10	$209.59	$243.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $96.23 / $120.29	Professional		$83.73	$96.23	$120.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $204.29 / $220.44	Professional		$83.76	$204.29	$220.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $83.76 / $174.69	Facility		$43.55	$83.76	$174.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $83.76 / $113.08	Professional		$83.76	$83.76	$113.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.76 / $94.65 / $146.58	Facility		$83.76	$94.65	$146.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $96.32 / $209.59	Facility		$43.55	$96.32	$209.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $92.14 / $117.26	Professional		$79.56	$92.14	$117.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.33 / $254.88 / $328.82	Facility		$163.33	$254.88	$328.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $100.03 / $206.77	Professional		$75.02	$100.03	$206.77
United Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $35.18 / $100.51	Professional		$35.18	$35.18	$100.51