Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $204.44 / $459.17	Facility		$94.52	$204.44	$459.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $39.39 / $114.22	Professional		$33.14	$39.39	$114.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $197.12 / $228.86	Facility		$128.00	$197.12	$228.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $83.10 / $141.58	Professional		$20.42	$83.10	$141.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $192.47 / $207.65	Professional		$78.77	$192.47	$207.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $78.77 / $164.28	Facility		$35.69	$78.77	$164.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $78.77 / $98.46	Professional		$38.65	$78.77	$98.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $82.71 / $173.88	Facility		$78.77	$82.71	$173.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $94.52 / $171.72	Facility		$39.39	$94.52	$171.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $86.65 / $110.28	Professional		$36.69	$86.65	$110.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $232.52 / $309.24	Facility		$153.60	$232.52	$309.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.03 / $70.68 / $194.46	Professional		$29.03	$70.68	$194.46
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $33.08 / $94.52	Professional		$16.22	$33.08	$94.52