Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.77 / $206.80 / $280.23	Facility		$94.77	$206.80	$280.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $67.48 / $89.75	Professional		$48.37	$67.48	$89.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.20 / $163.55 / $234.67	Facility		$106.20	$163.55	$234.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $84.99 / $117.49	Professional		$57.22	$84.99	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $143.47 / $171.92	Professional		$65.36	$143.47	$171.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.02 / $68.63 / $143.79	Facility		$49.02	$68.63	$143.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $71.90 / $89.04	Professional		$65.36	$71.90	$89.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $68.63 / $144.28	Facility		$65.36	$68.63	$144.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $82.68 / $189.54	Facility		$68.63	$82.68	$189.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.90 / $80.52 / $104.57	Professional		$71.90	$80.52	$104.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $201.73 / $270.02	Facility		$127.45	$201.73	$270.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $128.61 / $205.70	Professional		$115.51	$128.61	$205.70
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $27.45 / $78.43	Professional		$27.45	$27.45	$78.43