Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $151.36 / $436.52	Facility		$120.23	$151.36	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $177.83	Professional		$70.79	$83.18	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $257.04 / $295.12	Facility		$158.49	$257.04	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $173.78	Professional		$63.10	$107.15	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $257.04	Professional		$97.72	$208.93	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $109.65	Facility		$97.72	$97.72	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $134.90	Professional		$93.33	$97.72	$134.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $181.97	Facility		$97.72	$97.72	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $134.90 / $288.40	Facility		$83.18	$134.90	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $141.25	Professional		$79.43	$107.15	$141.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $288.40 / $380.19	Facility		$144.54	$288.40	$380.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $117.49	Professional		$77.62	$83.18	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $154.88	Facility		$117.49	$117.49	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $117.49	Professional		$40.74	$40.74	$117.49