Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.46 / $267.43 / $293.81	Facility		$113.46	$267.43	$293.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $59.66 / $136.55	Professional		$41.14	$59.66	$136.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.51 / $223.86 / $304.19	Facility		$61.51	$223.86	$304.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $95.44 / $150.18	Professional		$45.74	$95.44	$150.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $126.77 / $145.81	Professional		$106.69	$126.77	$145.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $89.98 / $139.08	Facility		$44.94	$89.98	$139.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $92.26 / $166.74	Professional		$75.50	$92.26	$166.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.86 / $99.89 / $110.55	Facility		$66.86	$99.89	$110.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $117.60 / $164.51	Facility		$54.54	$117.60	$164.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.23 / $116.37 / $156.75	Professional		$80.23	$116.37	$156.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.89 / $281.32 / $339.89	Facility		$201.89	$281.32	$339.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $113.03 / $150.50	Professional		$91.02	$113.03	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $62.06 / $155.03	Professional		$48.87	$62.06	$155.03