Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.38 / $162.38 / $181.94	Facility		$162.38	$162.38	$181.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.15 / $91.54 / $189.47	Professional		$62.15	$91.54	$189.47
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 $77.58 / $131.96 / $201.33	Professional		$77.58	$131.96	$201.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $160.77 / $186.64	Professional		$137.80	$160.77	$186.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.15 / $102.52 / $185.48	Facility		$63.15	$102.52	$185.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $123.00 / $175.68	Professional		$83.97	$123.00	$175.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $137.35 / $163.28	Facility		$99.32	$137.35	$163.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.02 / $108.00 / $185.48	Facility		$67.02	$108.00	$185.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $136.96 / $194.19	Professional		$88.10	$136.96	$194.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.64 / $192.35 / $283.57	Facility		$127.64	$192.35	$283.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $87.03 / $194.90	Professional		$82.68	$87.03	$194.90
United Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $137.29 / $221.71	Professional		$97.76	$137.29	$221.71