Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $152.69 / $224.90	Facility		$114.48	$152.69	$224.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $152.69 / $708.80	Professional		$112.45	$152.69	$708.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $170.78 / $257.42	Facility		$106.09	$170.78	$257.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $122.00	Professional		$112.45	$112.45	$122.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $251.41 / $317.45	Professional		$112.45	$251.41	$317.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $160.80 / $476.03	Facility		$112.45	$160.80	$476.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $123.70 / $146.19	Professional		$112.45	$123.70	$146.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $140.56 / $337.35	Facility		$112.45	$140.56	$337.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $170.78 / $359.08	Facility		$112.45	$170.78	$359.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $150.85 / $188.46	Professional		$122.00	$150.85	$188.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $143.72 / $223.85 / $462.54	Facility		$143.72	$223.85	$462.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45