Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.80 / $848.80 / $848.80	Facility		$848.80	$848.80	$848.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $179.89 / $218.20	Professional		$31.93	$179.89	$218.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $301.52 / $367.38	Facility		$37.28	$301.52	$367.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $52.58 / $155.93	Professional		$27.86	$52.58	$155.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $78.19 / $90.43	Professional		$65.79	$78.19	$90.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.33 / $201.98 / $340.28	Facility		$42.33	$201.98	$340.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.98 / $65.79 / $67.00	Facility		$43.98	$65.79	$67.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $218.20 / $343.67	Facility		$54.94	$218.20	$343.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $68.59 / $243.26	Professional		$52.58	$68.59	$243.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $291.56 / $385.75 / $463.05	Facility		$291.56	$385.75	$463.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $82.05 / $379.01	Professional		$54.15	$82.05	$379.01
United Facility/Professional Professional Modifier Low / Median / High Price $86.36 / $194.16 / $478.01	Professional		$86.36	$194.16	$478.01