Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.70 / $139.58 / $208.08	Facility		$109.70	$139.58	$208.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $100.93 / $205.26	Professional		$65.56	$100.93	$205.26
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 $82.47 / $143.93 / $229.81	Professional		$82.47	$143.93	$229.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $170.96 / $213.04	Professional		$136.81	$170.96	$213.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.89 / $125.96 / $205.84	Facility		$74.89	$125.96	$205.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $131.84 / $189.43	Professional		$91.80	$131.84	$189.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.06 / $160.80 / $171.52	Facility		$105.06	$160.80	$171.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $127.54 / $212.83	Facility		$75.81	$127.54	$212.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $147.05 / $211.92	Professional		$93.60	$147.05	$211.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $151.56 / $227.39 / $334.57	Facility		$151.56	$227.39	$334.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $131.69 / $210.30	Professional		$84.59	$131.69	$210.30
United Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $167.96 / $243.47	Professional		$116.09	$167.96	$243.47