Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.57 / $160.57 / $280.18	Facility		$160.57	$160.57	$280.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $62.48 / $62.48	Professional		$46.38	$62.48	$62.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.68 / $161.19 / $187.16	Facility		$104.68	$161.19	$187.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $73.93 / $92.41	Professional		$64.40	$73.93	$92.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $156.97 / $169.36	Professional		$64.41	$156.97	$169.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $64.41 / $134.33	Facility		$33.49	$64.41	$134.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $86.95	Professional		$64.41	$64.41	$86.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $67.63 / $90.17	Facility		$64.41	$67.63	$90.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $68.73 / $161.19	Facility		$33.49	$68.73	$161.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $70.84 / $90.17	Professional		$61.19	$70.84	$90.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $208.56 / $252.85	Facility		$128.82	$208.56	$252.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $76.86 / $158.36	Professional		$57.65	$76.86	$158.36
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $27.05 / $77.29	Professional		$27.05	$27.05	$77.29