Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.25 / $127.89 / $246.96	Facility		$110.25	$127.89	$246.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $74.97 / $171.99	Professional		$49.68	$74.97	$171.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.33 / $174.15 / $256.27	Facility		$143.33	$174.15	$256.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $97.40 / $158.03	Professional		$77.42	$97.40	$158.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $193.89 / $232.34	Professional		$88.20	$193.89	$232.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.15 / $92.61 / $194.04	Facility		$66.15	$92.61	$194.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $88.20 / $119.07	Professional		$88.20	$88.20	$119.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $92.61 / $194.70	Facility		$88.20	$92.61	$194.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $111.57 / $214.14	Facility		$92.61	$111.57	$214.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $101.43 / $127.01	Professional		$91.51	$101.43	$127.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.99 / $268.39 / $346.26	Facility		$171.99	$268.39	$346.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $173.53 / $277.11	Professional		$155.61	$173.53	$277.11
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.04 / $92.61	Professional		$37.04	$37.04	$92.61