Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.56 / $324.29 / $880.30	Facility		$110.56	$324.29	$880.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $98.26 / $272.33	Professional		$94.45	$98.26	$272.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $129.44 / $182.92	Facility		$89.10	$129.44	$182.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $102.47	Professional		$94.45	$94.45	$102.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $206.67 / $240.86	Professional		$92.81	$206.67	$240.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $122.21 / $203.07	Facility		$66.38	$122.21	$203.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $100.11 / $122.79	Professional		$94.45	$100.11	$122.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.15 / $117.69 / $282.45	Facility		$94.15	$117.69	$282.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $129.44 / $203.07	Facility		$89.10	$129.44	$203.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $102.47 / $114.35	Professional		$64.64	$102.47	$114.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.62 / $143.97 / $325.60	Facility		$87.62	$143.97	$325.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45
United Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45