Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.44 / $116.54 / $225.04	Facility		$96.44	$116.54	$225.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $77.95 / $435.89	Professional		$77.95	$77.95	$435.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.60 / $211.57 / $281.14	Facility		$130.60	$211.57	$281.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $80.34 / $143.93	Professional		$34.90	$80.34	$143.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $195.63 / $211.06	Professional		$80.37	$195.63	$211.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $85.76 / $260.16	Facility		$58.53	$85.76	$260.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $96.44 / $157.50	Professional		$80.37	$96.44	$157.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $108.50 / $176.15	Facility		$80.37	$108.50	$176.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $97.25 / $233.07	Facility		$58.53	$97.25	$233.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $96.44 / $131.52	Professional		$80.37	$96.44	$131.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.72 / $248.10 / $332.04	Facility		$156.72	$248.10	$332.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $102.41 / $197.74	Professional		$71.84	$102.41	$197.74
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $45.92 / $96.44	Professional		$33.76	$45.92	$96.44