Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.26 / $118.73 / $229.26	Facility		$98.26	$118.73	$229.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $79.42 / $284.50	Professional		$61.52	$79.42	$284.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.05 / $215.54 / $248.49	Facility		$133.05	$215.54	$248.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $89.93 / $146.86	Professional		$49.73	$89.93	$146.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $199.56 / $215.33	Professional		$81.88	$199.56	$215.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $81.88 / $170.75	Facility		$40.94	$81.88	$170.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.88 / $94.16 / $110.54	Professional		$81.88	$94.16	$110.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.88 / $90.07 / $180.75	Facility		$81.88	$90.07	$180.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $98.26 / $231.57	Facility		$40.94	$98.26	$231.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $90.07 / $114.63	Professional		$81.84	$90.07	$114.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $159.66 / $249.16 / $338.28	Facility		$159.66	$249.16	$338.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $85.62 / $201.84	Professional		$70.70	$85.62	$201.84
United Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $39.56 / $98.26	Professional		$34.39	$39.56	$98.26