Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $151.36 / $331.13	Facility		$91.20	$151.36	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $288.40	Professional		$47.86	$64.57	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $194.98 / $218.78	Facility		$120.23	$194.98	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $131.83	Professional		$46.77	$81.28	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $158.49 / $194.98	Professional		$74.13	$158.49	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $154.88	Facility		$74.13	$74.13	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $102.33	Professional		$61.66	$83.18	$102.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $138.04	Facility		$74.13	$74.13	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $102.33 / $218.78	Facility		$57.54	$102.33	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $109.65	Professional		$74.13	$81.28	$109.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $218.78 / $302.00	Facility		$109.65	$218.78	$302.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $87.10	Professional		$58.88	$61.66	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $117.49	Facility		$87.10	$87.10	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $87.10	Professional		$30.90	$34.67	$87.10