Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $148.69 / $180.36	Facility		$99.66	$148.69	$180.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $102.88 / $332.53	Professional		$52.61	$102.88	$332.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.67 / $159.72 / $258.63	Professional		$90.67	$159.72	$258.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $172.49 / $241.94	Professional		$126.58	$172.49	$241.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.50 / $138.00 / $228.42	Facility		$73.50	$138.00	$228.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $156.28 / $233.78	Professional		$104.61	$156.28	$233.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.16 / $183.40 / $196.98	Facility		$112.16	$183.40	$196.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.77 / $140.36 / $248.85	Facility		$75.77	$140.36	$248.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.37 / $179.80 / $249.17	Professional		$125.37	$179.80	$249.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $173.65 / $299.04 / $402.10	Facility		$173.65	$299.04	$402.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.83 / $169.65 / $260.85	Professional		$115.83	$169.65	$260.85
United Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $189.60 / $292.50	Professional		$128.83	$189.60	$292.50