Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.42 / $100.80 / $194.66	Facility		$83.42	$100.80	$194.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.43 / $71.26 / $350.00	Professional		$67.43	$71.26	$350.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.98 / $183.02 / $289.54	Facility		$112.98	$183.02	$289.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $80.12 / $124.54	Professional		$40.67	$80.12	$124.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $169.59 / $182.99	Professional		$69.52	$169.59	$182.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $72.33 / $144.97	Facility		$34.76	$72.33	$144.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $69.52 / $94.55	Professional		$69.52	$69.52	$94.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $76.47 / $153.47	Facility		$69.52	$76.47	$153.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $87.94 / $205.08	Facility		$72.33	$87.94	$205.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $76.47 / $99.41	Professional		$66.04	$76.47	$99.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $135.56 / $211.55 / $272.93	Facility		$135.56	$211.55	$272.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $90.38 / $171.48	Professional		$62.28	$90.38	$171.48
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $29.20 / $83.42	Professional		$29.20	$29.20	$83.42