Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $234.42 / $363.08	Facility		$141.25	$234.42	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $302.00	Professional		$67.61	$102.33	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $251.19 / $309.03	Facility		$154.88	$251.19	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $186.21	Professional		$56.23	$104.71	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $204.17 / $251.19	Professional		$95.50	$204.17	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $281.84	Facility		$95.50	$95.50	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $181.97	Professional		$91.20	$114.82	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $181.97	Facility		$95.50	$95.50	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $138.04 / $281.84	Facility		$89.13	$138.04	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $151.36	Professional		$79.43	$109.65	$151.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $288.40 / $398.11	Facility		$144.54	$288.40	$398.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $114.82	Professional		$77.62	$81.28	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $154.88	Facility		$114.82	$114.82	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $114.82	Professional		$39.81	$48.98	$114.82