Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $239.88 / $407.38	Facility		$125.89	$239.88	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $194.98	Professional		$64.57	$97.72	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $263.03 / $288.40	Facility		$162.18	$263.03	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $177.83	Professional		$50.12	$100.00	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $257.04	Professional		$100.00	$213.80	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $269.15	Facility		$100.00	$100.00	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $134.90	Professional		$97.72	$102.33	$134.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $190.55	Facility		$100.00	$100.00	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $144.54 / $295.12	Facility		$97.72	$144.54	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $141.25	Professional		$79.43	$109.65	$141.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $302.00 / $416.87	Facility		$151.36	$302.00	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $120.23	Professional		$75.86	$91.20	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $158.49	Facility		$120.23	$120.23	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $41.69 / $120.23	Professional		$38.90	$41.69	$120.23