Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $129.66 / $172.89	Facility		$129.66	$129.66	$172.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $98.31 / $182.91	Professional		$68.95	$98.31	$182.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $140.25 / $140.25	Facility		$140.25	$140.25	$140.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $140.85 / $238.96	Professional		$62.00	$140.85	$238.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.38 / $174.78 / $226.40	Professional		$123.38	$174.78	$226.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.03 / $120.00 / $195.88	Facility		$78.03	$120.00	$195.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $151.40 / $228.96	Professional		$103.61	$151.40	$228.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.25 / $156.11 / $182.91	Facility		$106.25	$156.11	$182.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.66 / $120.00 / $198.24	Facility		$78.66	$120.00	$198.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $137.15 / $219.14	Professional		$81.78	$137.15	$219.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $63.36 / $63.36	Facility		$63.36	$63.36	$63.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $156.13 / $224.00	Professional		$105.74	$156.13	$224.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $138.24 / $237.99	Professional		$74.89	$138.24	$237.99