Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.43 / $129.59 / $250.85	Facility		$126.43	$129.59	$250.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.02 / $105.36 / $296.77	Professional		$62.02	$105.36	$296.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $100.00 / $108.00	Facility		$50.00	$100.00	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $172.94 / $307.87	Professional		$99.41	$172.94	$307.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.76 / $245.58 / $285.10	Professional		$215.76	$245.58	$285.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.07 / $150.66 / $362.36	Facility		$93.07	$150.66	$362.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.24 / $179.32 / $293.44	Professional		$128.24	$179.32	$293.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.89 / $183.70 / $223.78	Facility		$127.89	$183.70	$223.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.07 / $151.13 / $357.66	Facility		$93.07	$151.13	$357.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.84 / $203.26 / $295.61	Professional		$114.84	$203.26	$295.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $160.76 / $297.52 / $436.48	Facility		$160.76	$297.52	$436.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $188.71 / $301.14	Professional		$127.89	$188.71	$301.14
United Facility/Professional Facility Modifier Low / Median / High Price $119.55 / $173.89 / $173.89	Facility		$119.55	$173.89	$173.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $175.53 / $285.83	Professional		$125.63	$175.53	$285.83