Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.40 / $131.40 / $229.29	Facility		$131.40	$131.40	$229.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $51.13 / $51.13	Professional		$37.95	$51.13	$51.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.65 / $131.90 / $153.13	Facility		$85.65	$131.90	$153.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $60.71 / $75.89	Professional		$52.69	$60.71	$75.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $128.58 / $138.74	Professional		$52.71	$128.58	$138.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $52.71 / $109.93	Facility		$27.41	$52.71	$109.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $71.16	Professional		$52.71	$52.71	$71.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $55.35 / $73.79	Facility		$52.71	$55.35	$73.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.41 / $56.24 / $131.90	Facility		$27.41	$56.24	$131.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $57.98 / $73.79	Professional		$50.07	$57.98	$73.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $105.42 / $170.67 / $206.92	Facility		$105.42	$170.67	$206.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $62.95 / $129.63	Professional		$47.21	$62.95	$129.63
United Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $22.14 / $52.71	Professional		$22.14	$22.14	$52.71