Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $309.03	Professional		$70.79	$97.72	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $151.36	Professional		$41.69	$83.18	$151.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $251.19	Professional		$93.33	$154.88	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $107.15 / $208.93	Facility		$64.57	$107.15	$208.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $295.12	Professional		$89.13	$154.88	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $194.98	Facility		$131.83	$190.55	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $112.20 / $208.93	Facility		$69.18	$112.20	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $158.49 / $257.04	Professional		$69.18	$158.49	$257.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $144.54	Facility		$141.25	$141.25	$144.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $281.84	Professional		$114.82	$181.97	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $204.17	Professional		$52.48	$87.10	$204.17