Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.08 / $254.86 / $498.97	Facility		$192.08	$254.86	$498.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $66.38 / $264.26	Professional		$43.14	$66.38	$264.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $61.21 / $61.21	Facility		$61.21	$61.21	$61.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $44.68 / $61.21	Professional		$44.68	$44.68	$61.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.78 / $203.13 / $264.92	Professional		$73.78	$203.13	$264.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.22 / $92.38 / $115.20	Facility		$63.22	$92.38	$115.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $102.93 / $110.67	Professional		$79.54	$102.93	$110.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $102.93 / $115.94	Facility		$93.65	$102.93	$115.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.22 / $92.38 / $115.20	Facility		$63.22	$92.38	$115.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $92.29 / $115.94	Professional		$44.68	$92.29	$115.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.81 / $175.26 / $369.77	Facility		$87.81	$175.26	$369.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $115.94 / $115.94	Professional		$90.64	$115.94	$115.94
United Facility/Professional Facility Modifier Low / Median / High Price $153.43 / $153.43 / $204.58	Facility		$153.43	$153.43	$204.58
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.84 / $91.27	Professional		$45.71	$47.84	$91.27