Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.83 / $218.83 / $241.08	Facility		$218.83	$218.83	$241.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.18 / $116.07 / $250.27	Professional		$91.18	$116.07	$250.27
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 $108.24 / $185.60 / $266.25	Professional		$108.24	$185.60	$266.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.98 / $211.15 / $245.93	Professional		$180.98	$211.15	$245.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.28 / $134.44 / $242.19	Facility		$83.28	$134.44	$242.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $164.15 / $221.95	Professional		$110.68	$164.15	$221.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.62 / $190.28 / $203.68	Facility		$133.62	$190.28	$203.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.73 / $137.16 / $257.30	Facility		$83.73	$137.16	$257.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.68 / $184.59 / $258.66	Professional		$116.68	$184.59	$258.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $179.79 / $280.06 / $376.38	Facility		$179.79	$280.06	$376.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.04 / $170.36 / $264.95	Professional		$112.04	$170.36	$264.95
United Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $105.14 / $105.14	Facility		$105.14	$105.14	$105.14
United Facility/Professional Professional Modifier Low / Median / High Price $123.06 / $196.31 / $307.94	Professional		$123.06	$196.31	$307.94