Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $79.91 / $139.76	Professional		$64.66	$79.91	$139.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.78 / $128.78 / $128.78	Facility		$128.78	$128.78	$128.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $89.60 / $151.22	Professional		$39.72	$89.60	$151.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.45 / $176.87 / $253.86	Professional		$92.45	$176.87	$253.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $105.44 / $211.37	Facility		$64.66	$105.44	$211.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $160.13 / $291.77	Professional		$122.55	$160.13	$291.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.27 / $176.85 / $193.63	Facility		$113.27	$176.85	$193.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.04 / $179.65 / $246.27	Facility		$82.04	$179.65	$246.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $178.29 / $251.93	Professional		$100.12	$178.29	$251.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.51 / $138.51 / $139.30	Facility		$138.51	$138.51	$139.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.35 / $182.89 / $282.29	Professional		$154.35	$182.89	$282.29
United Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $102.12 / $302.51	Professional		$61.49	$102.12	$302.51