Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $223.87 / $588.84	Facility		$109.65	$223.87	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $199.53	Professional		$61.66	$77.62	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $223.87 / $309.03	Facility		$138.04	$223.87	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $165.96	Professional		$56.23	$91.20	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $181.97 / $223.87	Professional		$85.11	$181.97	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $269.15	Facility		$85.11	$85.11	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $165.96	Professional		$81.28	$102.33	$165.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $162.18	Facility		$85.11	$85.11	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $257.04	Facility		$79.43	$131.83	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $138.04	Professional		$79.43	$102.33	$138.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $257.04 / $354.81	Facility		$128.82	$257.04	$354.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $102.33	Professional		$69.18	$72.44	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $134.90	Facility		$102.33	$102.33	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $102.33	Professional		$35.48	$48.98	$102.33