Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.56 / $217.76 / $370.19	Facility		$115.56	$217.76	$370.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $77.15 / $123.40	Professional		$74.16	$77.15	$123.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.30 / $212.98 / $305.52	Facility		$138.30	$212.98	$305.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $110.80 / $167.04	Professional		$57.35	$110.80	$167.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $186.79 / $223.82	Professional		$85.10	$186.79	$223.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $157.90 / $283.86	Facility		$76.59	$157.90	$283.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $94.55 / $148.61	Professional		$85.10	$94.55	$148.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $85.10 / $187.86	Facility		$85.10	$85.10	$187.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.87 / $118.05 / $251.05	Facility		$97.87	$118.05	$251.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $106.46 / $136.15	Professional		$93.61	$106.46	$136.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.95 / $262.64 / $351.58	Facility		$165.95	$262.64	$351.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $167.40 / $267.52	Professional		$150.22	$167.40	$267.52
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $48.64 / $102.12	Professional		$35.74	$48.64	$102.12