Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $196.56 / $326.08	Facility		$91.26	$196.56	$326.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $63.65 / $102.49	Professional		$60.95	$63.65	$102.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.08 / $175.68 / $252.00	Facility		$114.08	$175.68	$252.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $91.44 / $137.47	Professional		$47.24	$91.44	$137.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $154.12 / $184.68	Professional		$70.20	$154.12	$184.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $130.26 / $234.06	Facility		$63.18	$130.26	$234.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $77.98 / $118.54	Professional		$70.20	$77.98	$118.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $74.83 / $154.97	Facility		$70.20	$74.83	$154.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $97.37 / $207.09	Facility		$80.73	$97.37	$207.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $88.80 / $112.31	Professional		$77.22	$88.80	$112.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $136.88 / $216.65 / $290.02	Facility		$136.88	$216.65	$290.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.89 / $138.13 / $220.62	Professional		$123.89	$138.13	$220.62
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $40.11 / $84.24	Professional		$29.48	$40.11	$84.24