Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $165.96 / $218.78	Facility		$109.65	$165.96	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $275.42	Professional		$66.07	$89.13	$275.42
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 $83.18 / $138.04 / $223.87	Professional		$83.18	$138.04	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $208.93	Professional		$107.15	$144.54	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $109.65 / $194.98	Facility		$72.44	$109.65	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $199.53	Professional		$85.11	$134.90	$199.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $162.18 / $169.82	Facility		$117.49	$162.18	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $186.21	Facility		$69.18	$107.15	$186.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $204.17	Professional		$79.43	$131.83	$204.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $223.87 / $346.74	Facility		$128.82	$223.87	$346.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $213.80	Professional		$93.33	$144.54	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $93.33	Facility		$63.10	$63.10	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $213.80	Professional		$95.50	$144.54	$213.80