Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.34 / $112.78 / $249.60	Facility		$93.34	$112.78	$249.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $75.45 / $116.67	Professional		$20.97	$75.45	$116.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.40 / $194.66 / $226.00	Facility		$126.40	$194.66	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $81.96 / $139.81	Professional		$27.00	$81.96	$139.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $189.30 / $204.26	Professional		$77.78	$189.30	$204.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.89 / $77.78 / $162.22	Facility		$36.89	$77.78	$162.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $77.78 / $97.23	Professional		$51.39	$77.78	$97.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $81.67 / $171.70	Facility		$77.78	$81.67	$171.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.65 / $93.34 / $194.66	Facility		$56.65	$93.34	$194.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $85.56 / $108.89	Professional		$48.77	$85.56	$108.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.66 / $236.68 / $305.36	Facility		$151.66	$236.68	$305.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $70.78 / $192.00	Professional		$38.60	$70.78	$192.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $32.67 / $93.34	Professional		$21.56	$32.67	$93.34