Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.86 / $158.76 / $317.00	Facility		$136.86	$158.76	$317.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $38.63 / $704.02	Professional		$38.63	$38.63	$704.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.93 / $288.24 / $318.13	Facility		$177.93	$288.24	$318.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $115.35 / $196.21	Professional		$57.54	$115.35	$196.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $266.61 / $287.66	Professional		$109.49	$266.61	$287.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $109.49 / $241.76	Facility		$54.75	$109.49	$241.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $109.49 / $136.86	Professional		$73.95	$109.49	$136.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $120.44 / $241.70	Facility		$109.49	$120.44	$241.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.91 / $131.38 / $274.00	Facility		$71.91	$131.38	$274.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.19 / $120.44 / $153.29	Professional		$70.19	$120.44	$153.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $213.51 / $333.18 / $429.85	Facility		$213.51	$333.18	$429.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $99.64 / $269.94	Professional		$55.55	$99.64	$269.94
United Facility/Professional Professional Modifier Low / Median / High Price $45.91 / $45.99 / $131.38	Professional		$45.91	$45.99	$131.38