Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $213.80 / $512.86	Facility		$83.18	$213.80	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $102.33	Professional		$60.26	$79.43	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $331.13	Facility		$186.21	$186.21	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $131.83 / $2,951.21	Professional		$56.23	$131.83	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $245.47 / $295.12	Professional		$114.82	$245.47	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $120.23	Facility		$114.82	$114.82	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $154.88	Professional		$95.50	$125.89	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $125.89 / $169.82	Facility		$102.33	$125.89	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $123.03 / $288.40	Facility		$83.18	$123.03	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $93.33 / $125.89	Professional		$77.62	$93.33	$125.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $257.04 / $354.81	Facility		$169.82	$257.04	$354.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $138.04	Professional		$77.62	$97.72	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $181.97	Facility		$138.04	$138.04	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $102.33	Professional		$36.31	$39.81	$102.33