Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $120.23 / $204.17	Facility		$50.12	$120.23	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $131.83	Professional		$70.79	$97.72	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $245.47	Professional		$97.72	$213.80	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $123.03	Facility		$97.72	$104.71	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $128.82	Professional		$89.13	$97.72	$128.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $104.71 / $165.96	Facility		$83.18	$104.71	$165.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $141.25 / $245.47	Facility		$81.28	$141.25	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $107.15	Professional		$79.43	$95.50	$107.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $102.33 / $186.21	Facility		$40.74	$102.33	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $117.49	Professional		$97.72	$112.20	$117.49