Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.48 / $191.51 / $330.19	Facility		$120.48	$191.51	$330.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $100.85 / $340.00	Professional		$78.43	$100.85	$340.00
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 $89.95 / $147.11 / $232.78	Professional		$89.95	$147.11	$232.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.43 / $188.34 / $217.52	Professional		$161.43	$188.34	$217.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.53 / $109.65 / $202.08	Facility		$42.53	$109.65	$202.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.08 / $140.36 / $194.60	Professional		$93.08	$140.36	$194.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $162.81 / $170.18	Facility		$111.22	$162.81	$170.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $109.65 / $207.40	Facility		$46.42	$109.65	$207.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.38 / $158.13 / $223.62	Professional		$100.38	$158.13	$223.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $152.18 / $227.39 / $331.93	Facility		$152.18	$227.39	$331.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $147.83 / $230.18	Professional		$97.76	$147.83	$230.18
United Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $163.68 / $244.01	Professional		$107.40	$163.68	$244.01