Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $194.98 / $354.81	Facility		$75.86	$194.98	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $100.00	Professional		$51.29	$61.66	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $229.09	Facility		$128.82	$128.82	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $208.93	Professional		$79.43	$169.82	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $109.65	Facility		$75.86	$79.43	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $109.65	Professional		$67.61	$87.10	$109.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $138.04	Facility		$70.79	$87.10	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $109.65 / $208.93	Facility		$58.88	$109.65	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $109.65	Professional		$79.43	$87.10	$109.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $309.03	Facility		$138.04	$234.42	$309.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $95.50	Professional		$63.10	$67.61	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $95.50	Professional		$33.11	$33.11	$95.50