Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.31 / $146.50 / $253.45	Facility		$106.31	$146.50	$253.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $88.60 / $300.00	Professional		$63.35	$88.60	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $100.00 / $120.00	Facility		$50.00	$100.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $138.22 / $265.63	Professional		$80.59	$138.22	$265.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.51 / $228.88 / $264.04	Professional		$196.51	$228.88	$264.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $105.94 / $228.95	Facility		$84.38	$105.94	$228.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.71 / $165.99 / $264.94	Professional		$118.71	$165.99	$264.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.94 / $172.19 / $203.68	Facility		$126.94	$172.19	$203.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $106.32 / $257.43	Facility		$84.38	$106.32	$257.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.88 / $180.65 / $265.17	Professional		$99.88	$180.65	$265.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $269.64 / $397.24	Facility		$157.69	$269.64	$397.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $122.01 / $265.17	Professional		$108.83	$122.01	$265.17
United Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $92.75 / $220.19	Professional		$79.41	$92.75	$220.19