Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.91 / $113.48 / $219.13	Facility		$93.91	$113.48	$219.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $424.59	Professional		$75.91	$75.91	$424.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.18 / $206.02 / $267.16	Facility		$127.18	$206.02	$267.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $90.03 / $140.40	Professional		$57.21	$90.03	$140.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $190.88 / $205.96	Professional		$78.26	$190.88	$205.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $98.41 / $310.04	Facility		$41.48	$98.41	$310.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $93.91 / $131.25	Professional		$78.26	$93.91	$131.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $105.65 / $172.76	Facility		$78.26	$105.65	$172.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $98.41 / $226.95	Facility		$41.48	$98.41	$226.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $97.83 / $128.11	Professional		$78.26	$97.83	$128.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $152.61 / $241.55 / $323.32	Facility		$152.61	$241.55	$323.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $99.76 / $192.82	Professional		$70.09	$99.76	$192.82
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $44.73 / $93.91	Professional		$32.86	$44.73	$93.91