Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $142.26 / $256.50	Facility		$117.73	$142.26	$256.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $81.58 / $142.26	Professional		$75.23	$81.58	$142.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.43 / $245.51 / $285.05	Facility		$159.43	$245.51	$285.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $103.59 / $176.24	Professional		$46.18	$103.59	$176.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $239.01 / $257.86	Professional		$98.11	$239.01	$257.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $98.11 / $204.62	Facility		$49.06	$98.11	$204.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $98.11 / $122.64	Professional		$87.74	$98.11	$122.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $107.92 / $216.58	Facility		$98.11	$107.92	$216.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.06 / $117.73 / $245.51	Facility		$49.06	$117.73	$245.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $107.92 / $137.35	Professional		$83.27	$107.92	$137.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $191.31 / $298.55 / $405.33	Facility		$191.31	$298.55	$405.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $89.28 / $242.05	Professional		$65.91	$89.28	$242.05
United Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $41.21 / $117.73	Professional		$36.81	$41.21	$117.73