Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.51 / $115.44 / $346.30	Facility		$99.51	$115.44	$346.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $123.93	Professional		$105.33	$105.33	$123.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $199.24 / $231.32	Facility		$129.38	$199.24	$231.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.59 / $91.48 / $114.35	Professional		$79.59	$91.48	$114.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $194.05 / $209.37	Professional		$79.61	$194.05	$209.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $105.33 / $226.46	Facility		$79.61	$105.33	$226.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $91.55 / $108.27	Professional		$79.61	$91.55	$108.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $87.57 / $119.42	Facility		$79.61	$87.57	$119.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.55 / $105.33 / $226.46	Facility		$91.55	$105.33	$226.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $87.57 / $111.45	Professional		$75.63	$87.57	$111.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $179.18 / $311.10 / $384.92	Facility		$179.18	$311.10	$384.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $159.83 / $204.59	Professional		$71.26	$159.83	$204.59
United Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $44.26 / $126.46	Professional		$41.74	$44.26	$126.46