Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $223.87 / $549.54	Facility		$117.49	$223.87	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $144.54	Professional		$79.43	$112.20	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $436.52	Facility		$194.98	$316.23	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $158.49	Professional		$63.10	$93.33	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $309.03	Professional		$120.23	$263.03	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $165.96	Facility		$120.23	$120.23	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $199.53	Professional		$120.23	$151.36	$199.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $169.82	Facility		$120.23	$120.23	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $165.96 / $363.08	Facility		$117.49	$165.96	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $109.65 / $169.82	Professional		$64.57	$109.65	$169.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $478.63 / $501.19	Facility		$147.91	$478.63	$501.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $154.88	Professional		$91.20	$120.23	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $169.82	Professional		$51.29	$69.18	$169.82