Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $75.86 / $181.97	Facility		$47.86	$75.86	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $371.54	Professional		$75.86	$138.04	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $239.88 / $302.00	Facility		$95.50	$239.88	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $407.38	Professional		$165.96	$269.15	$407.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $338.84	Professional		$245.47	$275.42	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $131.83 / $257.04	Facility		$56.23	$131.83	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $245.47	Professional		$81.28	$147.91	$245.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $251.19	Facility		$173.78	$251.19	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $281.84	Facility		$112.20	$181.97	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $245.47 / $407.38	Professional		$79.43	$245.47	$407.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $354.81	Facility		$138.04	$234.42	$354.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $346.74	Professional		$218.78	$263.03	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $363.08	Professional		$134.90	$194.98	$363.08