Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $151.36 / $309.03	Facility		$72.44	$151.36	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $281.84	Professional		$52.48	$83.18	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $107.15	Facility		$50.12	$75.86	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $208.93	Professional		$69.18	$125.89	$208.93
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $194.98	Professional		$117.49	$158.49	$194.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $83.18 / $158.49	Facility		$43.65	$83.18	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $186.21	Professional		$79.43	$128.82	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $147.91 / $154.88	Facility		$107.15	$147.91	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $79.43 / $158.49	Facility		$40.74	$79.43	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $186.21	Professional		$70.79	$107.15	$186.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $309.03	Facility		$114.82	$204.17	$309.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $194.98	Professional		$85.11	$95.50	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $123.03	Facility		$83.18	$83.18	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $204.17	Professional		$70.79	$138.04	$204.17