Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.91 / $154.91 / $270.31	Facility		$154.91	$154.91	$270.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $60.28 / $60.28	Professional		$44.74	$60.28	$60.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.98 / $155.50 / $180.54	Facility		$100.98	$155.50	$180.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $62.12 / $89.31	Professional		$49.71	$62.12	$89.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $151.46 / $163.40	Professional		$62.14	$151.46	$163.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $62.14 / $129.60	Facility		$32.93	$62.14	$129.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $84.51	Professional		$62.14	$62.14	$84.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $70.22 / $108.75	Facility		$62.14	$70.22	$108.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $71.45 / $135.47	Facility		$40.86	$71.45	$135.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $68.34 / $87.00	Professional		$59.03	$68.34	$87.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $121.17 / $189.09 / $243.96	Facility		$121.17	$189.09	$243.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $74.15 / $153.43	Professional		$55.61	$74.15	$153.43
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $74.56	Professional		$26.10	$26.10	$74.56