Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.92 / $219.94 / $269.10	Facility		$126.92	$219.94	$269.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $108.50 / $390.00	Professional		$83.27	$108.50	$390.00
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 $95.99 / $170.81 / $301.30	Professional		$95.99	$170.81	$301.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $241.25 / $280.29	Professional		$212.12	$241.25	$280.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.93 / $147.56 / $362.36	Facility		$93.93	$147.56	$362.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $176.12 / $281.45	Professional		$125.95	$176.12	$281.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.97 / $180.95 / $220.43	Facility		$123.97	$180.95	$220.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.93 / $151.13 / $357.66	Facility		$93.93	$151.13	$357.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $198.60 / $291.11	Professional		$111.33	$198.60	$291.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.09 / $293.91 / $429.96	Facility		$157.09	$293.91	$429.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $191.03 / $297.50	Professional		$126.34	$191.03	$297.50
United Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $168.15 / $282.36	Professional		$128.00	$168.15	$282.36