Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.74 / $137.74 / $265.97	Facility		$118.74	$137.74	$265.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $92.14 / $185.23	Professional		$68.39	$92.14	$185.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.35 / $154.35 / $275.98	Facility		$154.35	$154.35	$275.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $104.89 / $170.36	Professional		$99.82	$104.89	$170.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $208.81 / $250.21	Professional		$94.99	$208.81	$250.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $99.74 / $208.98	Facility		$71.23	$99.74	$208.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $94.99 / $128.24	Professional		$94.99	$94.99	$128.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.99 / $99.74 / $209.69	Facility		$94.99	$99.74	$209.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.74 / $120.16 / $230.74	Facility		$99.74	$120.16	$230.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.89 / $109.24 / $170.36	Professional		$100.89	$109.24	$170.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $185.23 / $289.05 / $372.92	Facility		$185.23	$289.05	$372.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.58 / $186.46 / $298.42	Professional		$167.58	$186.46	$298.42
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $113.99	Professional		$39.90	$39.90	$113.99