Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.71 / $106.39 / $205.44	Facility		$91.71	$106.39	$205.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $64.12 / $143.07	Professional		$54.32	$64.12	$143.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.23 / $183.61 / $213.17	Facility		$119.23	$183.61	$213.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $79.68 / $132.22	Professional		$35.19	$79.68	$132.22
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 / $128.40	Facility		$73.37	$77.04	$128.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $92.81 / $183.61	Facility		$77.04	$92.81	$183.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $84.38 / $105.65	Professional		$79.64	$84.38	$105.65
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 / $31.68 / $75.44	Professional		$30.82	$31.68	$75.44