Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $127.43 / $246.06	Facility		$105.46	$127.43	$246.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $85.24 / $349.45	Professional		$77.04	$85.24	$349.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.80 / $231.28 / $255.33	Facility		$142.80	$231.28	$255.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $92.58 / $157.44	Professional		$46.18	$92.58	$157.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $214.55 / $231.48	Professional		$87.88	$214.55	$231.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.94 / $87.88 / $183.27	Facility		$43.94	$87.88	$183.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $101.06 / $122.96	Professional		$87.74	$101.06	$122.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.88 / $99.30 / $194.00	Facility		$87.88	$99.30	$194.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.01 / $105.46 / $219.91	Facility		$64.01	$105.46	$219.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $96.67 / $123.03	Professional		$83.27	$96.67	$123.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $171.37 / $267.42 / $363.07	Facility		$171.37	$267.42	$363.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $82.11 / $216.61	Professional		$65.80	$82.11	$216.61
United Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $36.90 / $105.46	Professional		$36.81	$36.90	$105.46