Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.93 / $187.89 / $224.69	Facility		$91.93	$187.89	$224.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $97.26 / $205.00	Professional		$74.25	$97.26	$205.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.66 / $167.40 / $250.00	Facility		$156.66	$167.40	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $110.00 / $243.32	Professional		$68.00	$110.00	$243.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $194.35 / $255.43	Professional		$134.06	$194.35	$255.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.76 / $119.70 / $200.76	Facility		$87.76	$119.70	$200.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $159.06 / $253.92	Professional		$114.58	$159.06	$253.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $169.29 / $207.70	Facility		$109.44	$169.29	$207.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $118.74 / $202.30	Facility		$88.15	$118.74	$202.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $139.62 / $239.20	Professional		$86.46	$139.62	$239.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $75.84 / $75.84	Facility		$75.84	$75.84	$75.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $133.38 / $226.25	Professional		$98.28	$133.38	$226.25
United Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $139.30 / $254.74	Professional		$78.73	$139.30	$254.74