Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $588.84	Facility		$162.18	$199.53	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $199.53	Professional		$70.79	$100.00	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $371.54	Facility		$208.93	$281.84	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $128.82 / $234.42	Professional		$46.77	$128.82	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $331.13	Professional		$128.82	$281.84	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $147.91	Facility		$128.82	$128.82	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $173.78	Professional		$104.71	$128.82	$173.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $245.47	Facility		$128.82	$128.82	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $177.83 / $380.19	Facility		$93.33	$177.83	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $181.97	Professional		$79.43	$141.25	$181.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $389.05 / $524.81	Facility		$194.98	$389.05	$524.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $154.88	Professional		$79.43	$109.65	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $208.93	Facility		$154.88	$154.88	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $154.88	Professional		$44.67	$53.70	$154.88