Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $275.42 / $281.84	Facility		$60.26	$275.42	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $74.13	Professional		$39.81	$46.77	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $181.97	Facility		$100.00	$100.00	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $97.72	Professional		$61.66	$70.79	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $158.49	Professional		$61.66	$134.90	$158.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $66.07	Facility		$61.66	$61.66	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $85.11	Professional		$61.66	$67.61	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $87.10	Facility		$61.66	$61.66	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $74.13 / $162.18	Facility		$32.36	$74.13	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $85.11	Professional		$61.66	$67.61	$85.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $181.97 / $245.47	Facility		$93.33	$181.97	$245.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $74.13	Professional		$46.77	$56.23	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $100.00	Facility		$74.13	$74.13	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $74.13	Professional		$26.30	$26.30	$74.13