Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $123.03 / $204.17	Facility		$87.10	$123.03	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $13,182.57	Professional		$85.11	$89.13	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $141.25 / $165.96	Facility		$81.28	$141.25	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $97.72	Professional		$87.10	$87.10	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $218.78	Professional		$141.25	$181.97	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $162.18	Facility		$87.10	$91.20	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $134.90	Professional		$85.11	$91.20	$134.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $107.15 / $177.83	Facility		$85.11	$107.15	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $158.49	Facility		$87.10	$91.20	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $109.65	Professional		$79.43	$93.33	$109.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $147.91 / $257.04	Facility		$77.62	$147.91	$257.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $120.23	Professional		$81.28	$87.10	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $208.93	Facility		$87.10	$87.10	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $97.72	Professional		$87.10	$87.10	$97.72