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 $62.12 / $71.45 / $95.90	Professional		$62.12	$71.45	$95.90
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 $32.31 / $62.14 / $129.60	Facility		$32.31	$62.14	$129.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $83.89	Professional		$62.14	$62.14	$83.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $65.25 / $87.00	Facility		$62.14	$65.25	$87.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.31 / $66.31 / $155.50	Facility		$32.31	$66.31	$155.50
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 $124.28 / $201.21 / $243.94	Facility		$124.28	$201.21	$243.94
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