Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.38 / $114.04 / $220.22	Facility		$94.38	$114.04	$220.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $76.29 / $214.67	Professional		$40.47	$76.29	$214.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.80 / $196.81 / $228.51	Facility		$127.80	$196.81	$228.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $82.72 / $140.99	Professional		$28.42	$82.72	$140.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $191.67 / $206.82	Professional		$78.65	$191.67	$206.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $78.65 / $164.02	Facility		$38.70	$78.65	$164.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $78.65 / $94.38	Professional		$53.91	$78.65	$94.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $82.58 / $173.62	Facility		$77.05	$82.58	$173.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.29 / $94.38 / $171.46	Facility		$57.29	$94.38	$171.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $86.52 / $110.11	Professional		$51.17	$86.52	$110.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $153.37 / $239.33 / $308.77	Facility		$153.37	$239.33	$308.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $71.56 / $193.64	Professional		$40.49	$71.56	$193.64
United Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $33.03 / $94.38	Professional		$22.62	$33.03	$94.38