Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.38 / $152.87 / $207.14	Facility		$95.38	$152.87	$207.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $62.81 / $143.07	Professional		$47.15	$62.81	$143.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.23 / $183.61 / $219.42	Facility		$119.23	$183.61	$219.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $80.98 / $131.59	Professional		$64.26	$80.98	$131.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $161.22 / $193.20	Professional		$73.37	$161.22	$193.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $77.04 / $161.41	Facility		$55.03	$77.04	$161.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $99.05	Professional		$73.37	$73.37	$99.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $77.04 / $161.96	Facility		$73.37	$77.04	$161.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $92.81 / $204.18	Facility		$71.17	$92.81	$204.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $84.38 / $110.79	Professional		$79.68	$84.38	$110.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $143.07 / $223.26 / $303.12	Facility		$143.07	$223.26	$303.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.87 / $144.27 / $231.28	Professional		$129.87	$144.27	$231.28
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $34.93 / $83.37	Professional		$30.82	$34.93	$83.37