Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $101.03 / $544.66	Facility		$98.54	$101.03	$544.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $151.54	Professional		$101.03	$101.03	$151.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $149.57 / $210.92	Facility		$95.31	$149.57	$210.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $119.14	Professional		$101.03	$101.03	$119.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $232.85 / $302.91	Professional		$178.00	$232.85	$302.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $106.08 / $248.87	Facility		$98.54	$106.08	$248.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $107.09 / $131.34	Professional		$101.03	$107.09	$131.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $103.75 / $209.69	Facility		$98.54	$103.75	$209.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $129.34 / $225.59	Facility		$101.03	$129.34	$225.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $129.34 / $139.68	Professional		$101.03	$129.34	$139.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.78 / $139.66 / $300.74	Facility		$120.78	$139.66	$300.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $101.03 / $101.03	Professional		$95.98	$101.03	$101.03
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $116.18	Professional		$101.03	$101.03	$116.18