Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $158.49 / $467.74	Facility		$128.82	$158.49	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $158.49	Professional		$72.44	$100.00	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $269.15 / $371.54	Facility		$165.96	$269.15	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $102.33 / $186.21	Professional		$60.26	$102.33	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $263.03	Professional		$102.33	$223.87	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $128.82	Facility		$102.33	$102.33	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $173.78	Professional		$102.33	$128.82	$173.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $194.98	Facility		$102.33	$102.33	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $147.91 / $302.00	Facility		$100.00	$147.91	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $186.21	Professional		$79.43	$112.20	$186.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $309.03 / $426.58	Facility		$154.88	$309.03	$426.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $131.83	Professional		$77.62	$102.33	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $165.96	Facility		$123.03	$123.03	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $144.54	Professional		$43.65	$58.88	$144.54