Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $169.86 / $412.78	Facility		$80.75	$169.86	$412.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $104.46 / $561.60	Professional		$84.93	$104.46	$561.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.96 / $173.96 / $173.96	Facility		$173.96	$173.96	$173.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.34 / $276.08 / $415.33	Professional		$239.34	$276.08	$415.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $112.56 / $239.35	Facility		$84.93	$112.56	$239.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $193.36 / $322.27	Facility		$97.21	$193.36	$322.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.93 / $121.51 / $194.42	Facility		$84.93	$121.51	$194.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $121.51 / $170.12	Professional		$86.98	$121.51	$170.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $97.21 / $97.21	Professional		$97.21	$97.21	$97.21
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $98.06	Professional		$85.27	$85.27	$98.06