Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $124.78 / $199.94	Facility		$99.82	$124.78	$199.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $100.97 / $256.33	Professional		$99.97	$100.97	$256.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $139.86 / $198.08	Facility		$94.31	$139.86	$198.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $108.45	Professional		$99.97	$99.97	$108.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $219.45 / $260.44	Professional		$98.55	$219.45	$260.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $142.96 / $214.94	Facility		$99.97	$142.96	$214.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $105.97 / $129.96	Professional		$99.97	$105.97	$129.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $124.78 / $207.94	Facility		$99.82	$124.78	$207.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $107.23 / $197.66	Facility		$102.61	$107.23	$197.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $117.89 / $125.21	Professional		$99.97	$117.89	$125.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.97 / $114.97 / $325.32	Facility		$98.97	$114.97	$325.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97